Is It Necessary to Remove Tonsil with IgA Nephropathy
Tonsil is an important immune defense line of the body, and is closely related to the occurrence and development of IgA Nephropathy. Clinical observation showed that 49.4% of IgA Nephropathy was secondary to infection, 41.9% of which were respiratory tract infections, including tonsillitis, pharyngitis and pulmonary infections, while tonsillitis accounted for 80.1%.
A long-term study abroad shows that tonsillectomy can protect renal function, even for patients without steroid therapy. As an independent or combined treatment, tonsillectomy can not only promote clinical remission, but also reduce the risk of IgA nephropathy patients progressing to end-stage renal disease (ESRD). After tonsillectomy, the clinical remission rate of IgA nephropathy patients increased significantly, and more than 2/3 of the patients' hematuria disappeared.
However, a critical point of view is that tonsillectomy in the treatment of IgA nephropathy, most of the positive results of the trials are non-controlled retrospective studies, the evidence level is low, therefore, the role of tonsillectomy in the treatment of IgA nephropathy is still questioned. Generally speaking, tonsillectomy in patients with IgA nephropathy with mild or moderate mesangial hyperplasia can improve the state of micro-inflammation. For patients with moderate mesangial hyperplasia accompanied by crescent formation and focal segmental sclerosis, tonsillectomy is of little significance. At the same time, tonsillectomy is of little significance in patients with severe renal pathological damage.
Although tonsillectomy has been shown to be effective in some cases, there is still a lack of high-quality randomized controlled clinical trials, so it is not recommended for clinical use, such as the KDIGO guidelines in the United States. In view of the actual situation, we believe that for IgA nephropathy patients with recurrent tonsillitis and tonsillitis inflammation accompanied by naked hematuria, tonsillectomy can be considered in the remission stage of inflammation to alleviate the disease.
IgA nephropathy patients with tonsillar inflammation symptoms such as pharyngalgia can take Qingyan tea to clear heat and detoxify, nourish Yin and relieve pharynx, which has good curative effect. Qingyan tea consists of Dendrobium officinalis, Trollius chinensis, oroxylum indicum vent and scaphium scaphigerum, each 10 g. Soak in water and take it instead of tea, one dose a day.
Is it necessary to remove tonsil with IgA Nephropathy? It depends on your medical condition. If you would like to know more detailed information on IgA Nephropathy treatment, please leave a message below or contact online doctor.
***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***