Table 2. Comparison of histologic findings between patients with HSPN and IgAN.
| HSPN | IgAN | P value | |
|---|---|---|---|
| Characteristics | (n = 24) | (n = 56) | |
| ISKDC classificationa, No (%) | |||
| I | 0 (0%) | ||
| II | 4 (16.7%) | ||
| IIIa | 20 (83.3%) | ||
| IIIb | 0 (0%) | ||
| IV | 0 (0%) | ||
| Histological grade according to JSNb, No (%) | |||
| I | 18 (32.1%) | ||
| II | 19 (33.9%) | ||
| III | 19 (33.9%) | ||
| IV | 0 (0%) | ||
| Global sclerosis ratec (%) | 7.3 ± 10.3 | 19.4 ± 17.2 | 0.002 |
| Crescent ratec (%) | 5.4 ± 8.0 | 16.2 ± 18.2 | 0.006 |
| Global sclerosis + crescent ratec (%) | 14.4 ± 21.5 | 35.8 ± 20.9 | <0.001 |
| Oxford classificationd, No (%) | |||
| M1 | 12 (50.0%) | 45 (80.3%) | 0.006 |
| E1 | 18 (75.0%) | 13 (23.2%) | <0.001 |
| S1 | 10 (41.6%) | 16 (28.6%) | 0.195 |
| T1-2 | 0 (0%) | 15 (26.8%) | 0.003 |
| C1-2 | 12 (50%) | 41 (73.2%) | 0.044 |
| Glomerular deposition on IF staining | |||
| IgA: weake | 2 (8.3%) | 10 (17.8%) | 0.331 |
| IgA: moderatee | 10 (41.7%) | 29 (51.8%) | 0.407 |
| IgA: stronge | 12 (50.0%) | 17 (30.4%) | 0.094 |
| IgG deposition | 9 (37.5%) | 15 (26.8%) | 0.489 |
| Fibrin deposition, | 21 (87.5%) | 6 (10.7%) | <0.001 |
| Electron dense deposit, No (%) | |||
| Mesangial area | 23 (95.8%) | 55 (98.2%) | 0.087 |
| Subendothelial area | 11 (45.8%) | 3 (5.4%) | <0.001 |
Value are means ± SD or (percent). Mann-Whitney U test or Fisher’s test are used for statistical analysis.
Abbreviations: HSPN; Henoch-Schönlein purpura nephritis, IgAN; Immunoglobulin A nephropathy; ISKDC, International Study of Kidney Disease in Children; JSN, Japanese Society of Nephrology, IF; immunofluorescence.
aHistologic classification in HSPN was graded based on the ISKDC classification [35].
bHistological grade in IgAN was classified according to the criteria of the JSN [36].
cRates of global sclerosis, crescents, and both types of glomerular lesions (%) were calculated by dividing total number of each type of lesion by total number of glomeruli. Crescents comprise cellular, fibrocellular, and fibrous types.
dHistological severity was graded according to Oxford classification [37].
eIntensity of IgA deposition was described earlier [31].