What is the primary treatment for synpharyngitic glomerulonephritis?

In cases of synpharyngitic glomerulonephritis, which often follows a throat infection, particularly with streptococcal bacteria, the primary treatment involves addressing inflammation and managing complications. Steroids are utilized to reduce the immune-mediated inflammation that impacts the glomeruli, the filtering units in the kidneys. ACE inhibitors are also administered to manage blood pressure and reduce proteinuria, which can often be present in such conditions.

By providing these treatments, the therapy aims to control both the inflammatory response and the symptoms associated with kidney function impairment. This dual approach of using steroids to control inflammation and ACE inhibitors to manage hypertension and renal protection is considered the most comprehensive treatment strategy for this condition.

Antibiotics would be used if there were an active bacterial infection present, but in cases where glomerulonephritis has already developed, the primary goal shifts to managing the renal complications. Diuretics are often used to help manage fluid overload but are not considered the primary treatment for addressing the underlying issues of synpharyngitic glomerulonephritis.