SciELO - Scientific Electronic Library Online

vol.79 issue4Trypanosoma cruzi: strain selection by diferent schedules of mouse passage of an initially mixed infectionReport of Lepocreadium Bimarium manter, 1940, Vitellibaculum Spinosa (Siddioi) & Cable, 1960) and Hirudinella Ventricosa (Pallas, 1774), parasites of marine fishes in Brazil author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Memórias do Instituto Oswaldo Cruz

Print version ISSN 0074-0276On-line version ISSN 1678-8060

Mem. Inst. Oswaldo Cruz vol.79 no.4 Rio de Janeiro Oct./Dec. 1984 

Schistosomal glomerular disease (a review)

Zilton A. Andrade1 

E. Van Marck2 

FIOCRUZ, Centro de Pesquisas Gonçalo Moniz, Salvador, Brasil

Prince Leopold Institut of Tropical Medicine, Antwerp, Belgium


In this review paper schistosomal glomerulopathy is defined as an immune-complex disease. The disease appears in 12-15 per cent of the individuals with hepatosplenic schistosomiasis. Portal hypertension with collateral circulation helps the by pass of the hepatic clearance process and the parasite antigens can bind to antibodies in the circulation and be trapped in the renal glomerulus. Chronic membranousproliferative glomerulonephritis is the most commom lesion present and the nephrotic syndrome is the usual form of clinical presentation. The disease can be experimentally produced, and schistosomal antigens and antibodies, as well as complement, can be demonstrated in the glomerular lesions. Specific treatment of schistosomiasis does not seem to alter the clinical course of schistosomal nephropathy.


A glomerulopatia esquistossomotica e um exemplo de doenca causada por complexos imunes. Ela se manifesta em 12 a 15% dos portadores de forma hepato-eplenica da esquistossomose. A hipertensao porta, com circulacao colateral, facilita a ultrapassagem do filtro hepatico e os antigenos esquistossomoticos podem se acoplar aos anticorpos na circulacao e vir a se depositar nos glomerulos. O tipo histologico mais frequente e a glomerulonefrite cronica membrano-proliferativa, geralmente com sindrome nefrotica. A doenca e passivel de reproducao experimental e os antigenos esquistossomoticos, os anticorpos e fracoes do complemento podem ser demonstrados nas lesoes glomerulares. O tratamento especifico da esquistossomose nao mostrou ate o momento a capacidade de alterar o curso da nefropatia.


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License