A Patient with IgA Nephropathy: 5 Years after Complete Remission of Minimal Change Nephrotic Syndrome.
10.12771/emj.2016.39.4.118
- Author:
Ji Won KIM
1
;
Jun Hyung PARK
;
Da Hee KIM
;
Hyung Young KIM
;
Sang Hyun KIM
;
Won Do PARK
Author Information
1. Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. wondoful1958@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Nephrotic syndrome;
Lipoid nephrosis;
IgA glomerulonephritis
- MeSH:
Adult;
Albuminuria;
Biopsy;
Cyclophosphamide;
Diagnosis;
Edema;
Glomerulonephritis, IGA*;
Hematologic Tests;
Humans;
Hyperlipidemias;
Hypoalbuminemia;
Immunoglobulin A*;
Leg;
Male;
Nephrosis, Lipoid*;
Nephrotic Syndrome;
Prednisolone
- From:The Ewha Medical Journal
2016;39(4):118-121
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 37-year-old male patient was admitted with generalized edema as the main symptom. A blood test confirmed hypoalbuminemia and hyperlipidemia, and a urine test confirmed severe albuminuria. A renal biopsy was conducted, which revealed a diagnosis of minimal change disease. Although the patient experienced complete remission of minimal change nephrotic syndrome after oral prednisolone and cyclophosphamide treatment, he is readmitted due to bilateral leg edema 5 years later since minimal change nephrotic syndrome was completely cured. The patient is diagnosed with IgA nephropathy. Although the exact mechanisms of IgA nephropathy in this patient remain unclear, this case represents an extremely rare development, and is separate from the remission of minimal change nephrotic syndrome.