A Case of Behcet's Disease Complicated by IgA Nephropathy.
10.4078/jrd.2013.20.4.261
- Author:
Yang Seon RYU
1
;
Chan Hong JEON
;
So Young JIN
Author Information
1. Division of Rheumatology, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Korea. chjeon@gamil.com
- Publication Type:Case Report
- Keywords:
Behcet's disease;
Proteinuria;
IgA nephropathy
- MeSH:
Adult;
Angiotensin II Type 1 Receptor Blockers;
Arthralgia;
Arthritis;
Biopsy;
Colchicine;
Erythema Nodosum;
Female;
Glomerulonephritis;
Glomerulonephritis, IGA;
Humans;
Immunoglobulin A;
Proteinuria;
Skin;
Ulcer;
Vasculitis
- From:Journal of Rheumatic Diseases
2013;20(4):261-265
- CountryRepublic of Korea
- Language:English
-
Abstract:
Behcet's disease (BD) is a rare, multisystemic disorder characterized by vasculitis. Although renal involvement rarely coexists with BD, several types of renal involvements have been reported: amyloidosis, glomerulonephritis and vascular involvement. Herein, we report a rare case of BD complicated with IgA nephropathy (IgAN). A 42-year-old woman visited the hospital due to joint pains and painful subcutaneous nodules. Based on her medical history of recurrent orogenital ulcers, arthritis, enteral ulcers, erythema nodosum-like skin lesions, and a positive pathergy test, we diagnosed her with BD. To evaluate proteinuria, we performed a renal biopsy. The patient was diagnosed with BD complicated with IgAN, and treated with a low dosage of steroid, colchicine, as well as angiotensin II type I receptor blockers. Although renal involvement in BD is rare, it is important to periodically perform renal function assessments in patients with BD involving abnormal urine results.