{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:31:13Z","timestamp":1786321873919,"version":"build-2736575974"},"reference-count":58,"publisher":"Akademiai Kiado Zrt.","issue":"28","license":[{"start":{"date-parts":[[2024,7,14]],"date-time":"2024-07-14T00:00:00Z","timestamp":1720915200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003549","name":"OTKA","doi-asserted-by":"crossref","award":["K 142728 (SZ. A. J.)"],"award-info":[{"award-number":["K 142728 (SZ. A. J.)"]}],"id":[{"id":"10.13039\/501100003549","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Semmelweis Egyetem Gyermek\u00adgy\u00f3gy\u00e1szati Klinika Radiol\u00f3giai Oszt\u00e1ly"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,7,14]]},"abstract":"A v\u00e9rvizel\u00e9s h\u00e1tter\u00e9ben a betegs\u00e9gek sz\u00e9les spektruma \u00e1llhat gyermekkorban, az\n egyszer\u0171 \u00e9s gyorsan gy\u00f3gyul\u00f3 h\u00fagy\u00fati fert\u0151z\u00e9sekt\u0151l a gyorsan progredi\u00e1l\u00f3 s\u00falyos\n glomerulonephritisig, mely a vesefunkci\u00f3 gyors roml\u00e1s\u00e1hoz vezet. A v\u00e9rvizel\u00e9s\n kivizsg\u00e1l\u00e1sa sor\u00e1n ez\u00e9rt els\u0151dleges c\u00e9lunk az orvosi szempontb\u00f3l jelent\u0151s esetek\n elk\u00fcl\u00f6n\u00edt\u00e9se. A v\u00e9rvizel\u00e9shez t\u00e1rsul\u00f3 feh\u00e9rjevizel\u00e9s, a magas v\u00e9rnyom\u00e1s vagy a\n besz\u0171k\u00fclt vesefunkci\u00f3 progressz\u00edv vesebetegs\u00e9gre h\u00edvja fel a figyelmet.\n Amennyiben a v\u00e9rvizel\u00e9s makroszk\u00f3pos, vagy az egy\u00e9b klinikai t\u00fcnetek\n jellegzetesek, a differenci\u00e1ldiagn\u00f3zis gyakran k\u00f6nny\u0171 \u00e9s egy\u00e9rtelm\u0171.\n Komplik\u00e1ltabb esetekben azonban tov\u00e1bbi noninvaz\u00edv vizsg\u00e1l\u00f3m\u00f3dszerek lehetnek\n sz\u00fcks\u00e9gesek, mint az ultrahangvizsg\u00e1lat, a v\u00f6r\u00f6sv\u00e9rtestek morfol\u00f3giai\n vizsg\u00e1lata, kalcium\u00fcr\u00edt\u00e9s, egy\u00e9b vizeletk\u00e9miai param\u00e9terek, illetve a\n vesefunkci\u00f3 \u00e9s a feh\u00e9rjevizel\u00e9s m\u00e9rt\u00e9k\u00e9nek meghat\u00e1roz\u00e1sa. A csal\u00e1di anamn\u00e9zis\n r\u00e9szletes felv\u00e9tele a v\u00e9rvizel\u00e9s \u00f6r\u00f6kletes okainak elk\u00fcl\u00f6n\u00edt\u00e9s\u00e9ben seg\u00edt.\n T\u00fcnetmentes v\u00e9rvizel\u00e9s eset\u00e9n k\u00f6zpontokk\u00e9nt v\u00e1ltozhat a vesebiopszia\n elv\u00e9gz\u00e9s\u00e9nek indik\u00e1ci\u00f3ja. A glomerularis betegs\u00e9gek felismer\u00e9s\u00e9nek ar\u00e1ny\u00e1t\n jelent\u0151sen befoly\u00e1solja, hogy mely krit\u00e9riumok teljes\u00fcl\u00e9se eset\u00e9n v\u00e9gz\u00fcnk\n vesebiopszi\u00e1t. \u00d6sszefoglal\u00f3 k\u00f6zlem\u00e9ny\u00fcnkben a v\u00e9rvizel\u00e9s diagnosztik\u00e1j\u00e1nak\n kih\u00edv\u00e1sait mutatjuk be. R\u00e9szletezz\u00fck a v\u00e9rvizel\u00e9s defin\u00edci\u00f3j\u00e1t, a glomerularis\n \u00e9s postglomerularis v\u00e9rvizel\u00e9s elk\u00fcl\u00f6n\u00edt\u00e9s\u00e9nek l\u00e9p\u00e9seit, \u00e1ttekintj\u00fck a\n h\u00e1tter\u00fckben \u00e1ll\u00f3 leggyakoribb betegs\u00e9geket, melyek vagy gyakoris\u00e1guk, vagy gyors\n lefoly\u00e1suk \u00e9s rossz progn\u00f3zisuk miatt kih\u00edv\u00e1st jelentenek mindennapi\n gyermeknefrol\u00f3giai orvosi gyakorlatunk sor\u00e1n. Orv Hetil. 2024; 165(28):\n 1067\u20131078.<\/jats:p>","DOI":"10.1556\/650.2024.33073","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T10:14:17Z","timestamp":1721038457000},"page":"1067-1078","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A v\u00e9rvizel\u00e9s okai gyermekkorban \u2013 a korszer\u0171 diagnosztika a kivizsg\u00e1l\u00e1s t\u00fckr\u00e9ben"],"prefix":"10.1556","volume":"165","author":[{"given":"Orsolya","family":"Horv\u00e1th","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, B\u00f3kay utcai r\u00e9szleg Budapest, B\u00f3kay J. u. 53., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila J\u00f3zsef","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, B\u00f3kay utcai r\u00e9szleg Budapest, B\u00f3kay J. u. 53., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ildik\u00f3","family":"V\u00e1rkonyi","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, B\u00f3kay utcai r\u00e9szleg Budapest, B\u00f3kay J. u. 53., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gy\u00f6rgy","family":"Reusz","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, B\u00f3kay utcai r\u00e9szleg Budapest, B\u00f3kay J. u. 53., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Horv\u00e1th O, Szab\u00f3 AJ, Reusz GS. 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