How is the prognosis of chronic nephritis?

The natural history of patients with chronic nephritis vary widely, as part of the patient's condition is relatively stable after 5-6 years, or even 20 to 30 years before developingrenal insufficiency of a very small number of patients and relieve itself. Another part of thepatient's condition continued to develop or repeated acute attacks, the development ofrenal failure in 2 to 3 years. Is generally believed that the poor prognosis of sustained hypertension of chronic nephritis and persistent renal dysfunction.
In summary, chronic nephritis is a glomerular disease with sexual orientation, and the prognosis is relatively poor. Pathological types of renal biopsy in the prognosis is more reliable and is generally believed that good with minimal change nephropathy and puremesangial proliferative glomerulonephritis and prognosis of membranous nephropathyprogress is slow, the prognosis is better than that of nephritis, most cases in a few years,renal insufficiency, focal segmental glomerular sclerosis prognosis is poor.
Recent studies show that, in addition to glomerular lesions, tubular, renal vascular and renal interstitial lesion significantly affect the prognosis. Tubular atrophy, renal vascular sclerosis, a large number of renal interstitial lymphocytic infiltration and interstitial fibrosis, poor prognosis.