180 cases of anaphylactoid purpura nephritis with various clinical patterns wer analysed. 51.1% of the cases showed proteinuria and/or hematuria only

43.3% manifested as nephritic syndrome

and 5.6% as nephrotic syndrome with hematuria. There were no clinical correlations between the renal and extrarenal symptoms. The outcome of patients with steroid therapy was not significantly different from those without steroid treatment. 40.6% of the patients were cured

42.2% improved

16.1% unchanged and 1.1% died at discharge from the hospital.76 cases were followed up for 11 months to 26 years (mean 9 years). All of them were physically normal. Detail studies had been carried out in 50 cases. 30% were cured. 24% still showed some abnormal urine findings and 46% showed abnormal urine with mild azotemia. Renal biopsy was done in 7 cases with abnormal findings. Biopsy samples were examimed with light microscopy

electron microscopy and im-munoflorescence. 5 cases were diagnosed .as mesangial proliferative glomerulonephritis

and the other 2 as membrano-proliferative glomerulonephritis. No crescent formation was found. IgA deposits in the glomeruli were seen in 5 of the 6 cases examimed. Tne outcome of this series was better than other reports.