A Case of Crescentic Glomerulonephritis and Marginal Zone B-cell Lymphoma.
10.3904/kjm.2014.87.5.609
- Author:
Yongjin YI
1
;
Hyunjin RYU
;
Ji In PARK
;
Jung Pyo LEE
;
Chun Soo LIM
;
Kyung Chul MOON
;
Yun Kyu OH
Author Information
1. Department of Internal Medicine, Seoul National University, Boramae Medical Center, Seoul, Korea. yoonkyu@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Crescentic glomerulonephritis;
Rapidly progressive glomerulonephritis;
Marginal zone B-cell lymphoma
- MeSH:
Aged, 80 and over;
Edema;
Glomerulonephritis*;
Humans;
Lymphoma, B-Cell;
Lymphoma, B-Cell, Marginal Zone*;
Male;
Methylprednisolone;
Oliguria;
Renal Dialysis;
Rheumatic Diseases;
Systemic Vasculitis
- From:Korean Journal of Medicine
2014;87(5):609-614
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Secondary rapidly progressive glomerulonephritis (RPGN) can be caused by many diseases and conditions, including vasculitis, systemic rheumatic diseases, infections, drugs and malignancies. Among the secondary RPGNs, malignancy-associated RPGN is extremely rare and causes renal function deterioration within several weeks to months. Thus, timely immunosuppressant therapy can improve renal outcome. Herein, we describe a case of RPGN detected simultaneously with marginal zone B-cell lymphoma. An 82-year-old male patient, who presented generalized edema and oliguria, was diagnosed with crescentic glomerulonephritis and marginal B-cell lymphoma. After the patient was given methylprednisolone pulse therapy, renal function was restored and hemodialysis was successfully discontinued without complications.
