Table 1. Histopathological classification of postinfectious glomerulonephritis.
Acute PIGN | Persistent PIGN | Healed PIGN | |
Light microscopy(H&E, PAS, Masson’s trichromeand PAS -Metheniminesilver stained slides) | • Diffuse, moderate tomarked, segmental to globalendocapillary hypercellularity(mostly neutrophilic) | • Focal, mild to moderate,segmentalendocapillaryhypercellularity(mostly mononuclear) | • Focal, absent to mild segmental endocapillary hypercellularity (mostly mononuclear) |
• ± Moderate tomarked mesangial hypercellularity | • ± Mild to markedmesangial hypercellularity | • ± Absent to moderate mesangial hypercellularity | |
Immunofluorescence | • Granular capillarywall (GBM), with ±mesangial IgG and/or C3deposits | • Variable granularmesangial C3± IgGwith ± capillary wall(GBM) deposits | • Variable granular mesangial C3± IgG with ± capillary wall (GBM) deposits |
• Mesangial IgA in IgA-dominant PIGN | • ± IgA, IgM, C1q,kappa or lambda | • ± IgA, IgM, C1q, kappa or lambda | |
• ± IgA, IgM, C1q, Kappaor lambda | |||
Electron microscopy | • Numerous irregularly-spacedsubepithelial electrondense deposits, frequently inmesangial “notch”,rare “humps”, undergoingminimal to mild resorption | • Occasional to numeroussubepithelial electrondense deposits,a few “humps”, a few(at least 1) in mesangial“notch”, undergoingvariable (mild to marked)resorption | • Few subepithelial electron dense deposits, rare “humps” (up to 2), a few in mesangial “notch”, undergoing moderate to marked resorption |
• ±Rare intramembranous,mesangial, subendothelial | • ± Variable numbersof subendothelial,intramembranous, mesangial | • Numerous subendothelial, intramembranous, mesangial, undergoing moderate to marked resorption |
Adapted from Haas, M., Hum Pathol, 2003. 34(1): p. 3–10.