Indication criteria for tonsillectomy in IgA nephropathy patients

Hirofumi Akagi, Akira Doi, Michiya Kosaka, Kenshi Hattori, Shin Kariya, Kunihiro Fukushima, Mitsuhiro Okano, Kazunori Nishizaki, Yu Masuda

Research output: Chapter in Book/Report/Conference proceedingConference contribution

3 Citations (Scopus)


We proposed the following indication criteria for tonsillectomy in patients with IgA nephropathy. (1) IgA nephropathy has been definitively diagnosed by an evaluation of the renal glomeruli during renal biopsy. (2) Tonsillectomy is indicated for patients who demonstrate grade I-III renal pathology and a serum creatinine level of 2.0 mg/dl or less during renal biopsy. However, even among patients who demonstrate grade IV disease or a serum creatinine level higher than 2.0 mg/dl during renalbiopsy, surgery should be considered in the absence of contraindications for tonsillectomy, such as renal hypofunction, providing the patient wants to undergo surgery and informed consent is obtained. (3) The patient's medical history includes deterioration of urine findings during tonsillitis or acute upper respiratory inflammation.(4) Buried tonsils and the attachment of pus plugs to the tonsillar crypt are observed as local findings of the palatine tonsil. (5) Positive findings, especially positive urine findings (hematuria), are detected on the tonsillar provocation test. Items (1) and (2) are essential. Items (3) to (5) are indicative, as their inclusion has not been supported by previous studies.

Original languageEnglish
Title of host publicationRecent Advances in Tonsils and Mucosal Barriers of the Upper Airways
Subtitle of host publication7th International Symposium on Tonsils and Mucosal Barriers of the Upper Airways, Asahikawa, July 2010: Proceedings
EditorsYasuaki Harabuchi, Tatsuya Hayashi, Akihiro Katada
Number of pages3
Publication statusPublished - Aug 2011
Externally publishedYes

Publication series

NameAdvances in Oto-Rhino-Laryngology
ISSN (Print)0065-3071

ASJC Scopus subject areas

  • Otorhinolaryngology


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