Table 1. Patient characteristics according to baseline Max GD levels.
(Table 1A. Clinical and laboratory findings; Entire cohort, n = 43) | |||||
Variables | Entire cohort | Max GD ≥ 242.3 μm | Max GD < 242.3 μm | P-value | Standardized Differences |
n = 43 | n = 15 | n = 28 | |||
Clinical Findings | |||||
Age (years) | 39.8 ± 9.8 [43] | 41.4 ± 9.5 | 39.0 ± 10.0 | 0.4539 | 0.246 |
Sex (Men; n (%)) | 26 (60.5) [43] | 11 (73.3) | 15 (53.6) | 0.3274 | 0.418 |
BMI (kg/m2) | 25.4 ± 4.3 [43] | 28.5 ± 4.2 | 23.7 ± 3.4 | 1.256 | |
MBP (mmHg) | 102.6 ± 16.8 [43] | 104.8 ± 15.9 | 101.4 ± 17.5 | 0.5417 | 0.203 |
Laboratory Findings | |||||
Total Protein (g/dL) | 6.48 ± 0.59 [43] | 6.71 ± 0.51 | 6.36 ± 0.59 | 0.0566 | 0.635 |
Serum Albumin (g/dL) | 3.79 ± 0.39 [43] | 3.91 ± 0.40 | 3.73 ± 0.38 | 0.1487 | 0.461 |
Blood Urea Nitrogen (mg/dL) | 14.5 ± 3.4 [43] | 15.6 ± 2.7 | 13.9 ± 3.6 | 0.1127 | 0.534 |
Serum Creatinine (mg/dL) | 0.83 ± 0.20 [43] | 0.91 ± 0.22 | 0.79 ± 0.19 | 0.0719 | 0.584 |
eGFR (mL/min/1.73m2) | 78.6 ± 17.5 [43] | 72.2 ± 12.9 | 81.9 ± 18.9 | 0.0842 | 0.599 |
Uric Acid (mg/dL) | 5.74 ± 1.58 [43] | 6.01 ± 1.56 | 5.60 ± 1.60 | 0.4210 | 0.259 |
Total Cholesterol (mg/dL) | 195.8 ± 44.3 [43] | 197.3 ± 20.0 | 194.9 ± 53.3 | 0.8677 | 0.060 |
Triglyceride (mg/dL) | 164.3 ± 134.2 [43] | 228.7 ± 201.3 | 129.8 ± 58.9 | 0.667 | |
Hemoglobin A1c (NGSP) (%) | 5.43 ± 0.94 [30] | 6.08 ± 1.32 | 5.11 ± 0.44 | 0.986 | |
IgG (mg/dL) | 1141.8 ± 321.0 [43] | 1173.8 ± 401.4 | 1124.6 ± 275.4 | 0.6376 | 0.143 |
IgA (mg/dL) | 337.1 ± 139.7 [43] | 362.1 ± 162.2 | 323.7 ± 127.2 | 0.3971 | 0.263 |
IgM (mg/dL) | 166.0 ± 92.0 [43] | 160.6 ± 84.3 | 168.9 ± 97.3 | 0.7832 | 0.091 |
CH50 (mg/dL) | 40.8 ± 5.9 [34] | 40.4 ± 5.5 | 41.0 ± 6.3 | 0.7791 | 0.101 |
C3 (mg/dL) | 90.4 ± 19.2 [42] | 103.6 ± 21.6 | 83.9 ± 14.2 | 1.078 | |
C4 (mg/dL) | 36.9 ± 10.9 [42] | 38.7 ± 11.3 | 36.0 ± 10.8 | 0.4590 | 0.244 |
IgA/C3 ratio | 3.85 ± 1.81 [42] | 3.52 ± 1.64 | 4.01 ± 1.90 | 0.4158 | 0.276 |
U-Prot (g/day) | 1.4 (0.0–7.0) [43] | 1.5 (0.6–5.7) | 1.1 (0.0–7.0) | 0.5493 | 0.028 |
U-RBC (counts/HPF) | 10 (0–200) [41] | 1 (0–100) | 10 (0–200) | 0.0828 | 0.386 |
Initial treatments | |||||
Corticosteroids (n (%)) | 22 (51.2) [43] | 6 (40.0) | 16 (57.1) | 0.3475 | 0.347 |
Tonsillectomy (n (%)) | 2 (4.7) [43] | 0 (0.0) | 2 (7.1) | 0.5349 | 0.391 |
Immunosuppressants (n (%)) | 0 (0.0) [43] | 0 (0.0) | 0 (0.0) | NA | NA |
Concomitant drugs | |||||
Antihypertensive agents (n (%)) | 30 (69.8) [43] | 11 (73.3) | 19 (67.9) | 1.0000 | 0.119 |
ARB and or ACEI (n (%)) | 25 (58.1) [43] | 9 (60.0) | 16 (57.1) | 1.0000 | 0.059 |
Others (n (%)) | 14 (32.6) [43] | 7 (46.7) | 7 (25.0) | 0.1837 | 0.465 |
Anti-platelet agents | 42 (97.7) [43] | 14 (93.3) | 28 (100.0) | 0.3488 | 0.379 |
Anti-coagulation | 11 (25.6) [43] | 3 (20.0) | 8 (28.6) | 0.7190 | 0.202 |
Antidyslipidemic agents (n (%)) | 1 (2.3) [43] | 1 (6.7) | 0 (0.0) | 0.3488 | 0.379 |
Antihyperuricemic agents (n (%)) | 5 (11.6) [43] | 2 (13.3) | 3 (10.7) | 1.0000 | 0.080 |
Comorbidities | |||||
Hypertension (n (%)) | 33 (76.7) [43] | 12 (80.0) | 21 (75.0) | 1.0000 | 0.120 |
Hyperuricemia (n (%)) | 12 (27.9) [43] | 7 (46.7) | 5 (17.9) | 0.0739 | 0.647 |
Hypertriglyceridemia (n (%)) | 16 (37.2) [43] | 8 (53.3) | 8 (28.6) | 0.1849 | 0.519 |
Hypercholesterolemia (n (%)) | 10 (23.3) [43] | 3 (20.0) | 7 (25.0) | 1.0000 | 0.120 |
(Table 1B. Histological findings; Entire cohort, n = 43) | |||||
Variables | Entire cohort | Max GD ≥ 242.3 μm | Max GD < 242.3 μm | P-value | Standardized Differences |
n = 43 | n = 15 | n = 28 | |||
Number of glomeruli | 13.4 ± 5.5 [43] | 12.1 ± 4.5 | 14.1 ± 5.9 | 0.2767 | 0.381 |
Global sclerosis (%) | 14.3 (0.0–57.1) [43] | 12.5 (0.0–55.6) | 14.5 (0.0–57.1) | 0.9693 | 0.037 |
Segmental sclerosis (%) | 14.7 (0.0–69.2) [43] | 11.1 (0.0–55.6) | 17.7 (0.0–69.2) | 0.2460 | 0.277 |
Crescent (%) | 6.3 (0.0–83.3) [43] | 6.3 (0.0–33.3) | 7.4 (0.0–83.3) | 0.6312 | 0.232 |
Cellular or Fibro-Cellular (%) | 6.3 (0.0–83.3) [43] | 6.3 (0.0–22.2) | 6.1 (0.0–83.3) | 0.5938 | 0.297 |
Fibrous (%) | 0.0 (0.0–12.5) [43] | 0.0 (0.0–12.5) | 0.0 (0.0–8.3) | 0.3101 | 0.410 |
Mesangial cell proliferation (0–3) | 2 (1–3) [43] | 3 (1–3) | 2 (1–3) | 0.1908 | 0.428 |
Interstitial fibrosis (%) | 5.0 (0.0–60.0) [43] | 5.0 (0.0–60.0) | 5.0 (0.0–30.0) | 0.7766 | 0.174 |
Interstitial fibrosis (0–3) | 1 (0–2) [43] | 1 (0–2) | 1 (0–2) | 0.8161 | 0.098 |
Interstitial inflammation (%) | 5.0 (0.0–30.0) [43] | 5.0 (0.0–25.0) | 5.0 (0.0–30.0) | 0.5248 | 0.277 |
Arteriosclerosis (0–3) | 1 (0–2) [43] | 1 (0–2) | 0 (0–2) | 0.0082 | 0.878 |
Arteriolar hyalinosis (0–3) | 1 (0–3) [43] | 1 (0–3) | 1 (0–2) | 0.0017 | 1.132 |
Max GD (μm) | 221.7 ± 30.8 [43] | 253.1 ± 10.9 | 204.9 ± 24.0 | <0.0001 | 2.586 |
Max GA (μm) | 37333.8 ± 10230.7 [43] | 48024.0 ± 5034.0 | 31606.9 ± 7223.2 | <0.0001 | 2.637 |
Oxford Classification | |||||
M1 | 35 (81.4) [43] | 12 (80.0) | 23 (82.1) | 1.0000 | 0.054 |
E1 | 23 (53.5) [43] | 9 (60.0) | 14 (50.0) | 0.7492 | 0.202 |
S1 | 35 (81.4) [43] | 11 (73.3) | 24 (85.7) | 0.4188 | 0.311 |
T1 | 1 (2.3) [43] | 0 (0.0) | 1 (3.6) | 1.0000 | 0.273 |
T2 | 1 (2.3) [43] | 1 (6.7) | 0 (0.0) | 0.3488 | 0.379 |
C1 | 20 (46.5) [43] | 8 (53.3) | 12 (42.9) | 0.5401 | 0.209 |
C2 | 4 (9.3) [43] | 0 (0.0) | 4 (14.3) | 0.2802 | 0.578 |
Continuous variables are expressed as means ± standard deviation or median (minimum–maximum). Count data are expressed as n (%). For each variable, the number of patients with non-missing data is shown in [].
Abbreviations: n, number; %, percentages; BMI, body mass index; MBP, mean blood pressure; GFR, estimated glomerular filtration rate; NGSP, national glycohemoglobin standardization program; IgG, immunoglobulin G; IgA, immunoglobulin A; IgM, immunoglobulin M; CH50, 50% hemolytic complement activity; C3, complement component 3; C4, complement component 4; U-Prot, Urinary protein excretion; U-RBC, urinary red blood cells; HPF, high-power field; ARB, angiotensin receptor blocker; ACEI, angiotensin-converting enzyme inhibitor; Max GD, maximal glomerular diameter; Max GA, maximal glomerular area; M, mesangial hypercellularity; E, endocapillary hypercellularity; S, segmental glomerulosclerosis; T, tubular atrophy/interstitial fibrosis; C, cellular/fibrocellular crescents