A Case of Pulmonary Hemorrhage Associated with IgA Nephropahty in Adult.
- Author:
Young Min KIM
1
;
Yang Ki KIM
;
Jin Seok JEON
;
Hyun Jin NOH
;
Dong Cheol HAN
;
Hi Bal LEE
;
So Young JIN
Author Information
1. Department of Internal Medicine, College of Medicine, Soon Chun Hyang University, Seoul, Korea. ymsh9711@hanafos.com
- Publication Type:Case Report
- Keywords:
IgA nephropathy;
Pulmonary hemorrhage;
Glomerulonephritis
- MeSH:
Adult*;
Biopsy;
Cell Proliferation;
Female;
Glomerulonephritis;
Glomerulonephritis, IGA;
Hematuria;
Hemoptysis;
Hemorrhage*;
Humans;
Hysterectomy;
Immunoglobulin A*;
Proteinuria;
Thorax
- From:Korean Journal of Nephrology
2005;24(3):481-484
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
IgA nephropathy is the most common glomerulonephritis in all parts of the world. It presents as asymptomatic microscopic hematuria or proteinuria or as episodic gross hematuria after upper respiratory infection or excercise. Pulmonary hemorrhage is both a rare complication and presentation of IgA nephropathy. We report a case of pulmonary hemorrhage associated with IgA nephropathy in adult. A 29-year-old woman was transferred because of gross hematuria and hemoptysis after hysterectomy. Chest X-ray showed bilateral pulmonary infiltrates in lower lobes. Renal biopsy showed mesangial expansion by mesangial cellular proliferation with mesangial staining of IgA. Her repiratory symptom and pathcy opacities on the chest X-ray disappeared spontaneously. Normal renal function of the patient maintained but she had persistent hematuria.