A Case of Antiphospholipid Antibody Syndrome with AhA Nephropathy.
- Author:
Jong Seo PARK
;
Sung Jin KANG
;
Yong An WOO
;
Sung Sik RYU
;
Gun Young HONG
;
Soon Ho KIM
;
Joong Kyu LIM
;
Hyun Soon LEE
- Publication Type:Case Report
- MeSH:
Adult;
Antibodies;
Antibodies, Anticardiolipin;
Antibodies, Antiphospholipid*;
Anticoagulants;
Antiphospholipid Syndrome*;
Biopsy;
Blood Platelets;
Blood Proteins;
Capillaries;
Edema;
Follow-Up Studies;
Glomerulonephritis;
Glomerulonephritis, IGA;
Humans;
Immunoglobulin A;
Kidney;
Lupus Erythematosus, Systemic;
Male;
Steroids;
Thrombocytopenia;
Thrombosis;
Thrombotic Microangiopathies
- From:Korean Journal of Nephrology
1999;18(5):787-791
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The antiphospholipid antibody syndrome is cha- racterized by antibodies directed against either phos-pholipids or plasma proteins bound to anionic phos- pholipids. These antibodies have been characterized by lupus anticoagulants and anticardiolipin antibodies. Patients with the antiphospholipid antibody syndrome may display a constellation of clinical features including venous and arterial thrombosis, recurrent fetal losses, and thrombocytopenia. Although the majority of patients reported have a thrombotic microangiopathy, some have also seen membranous nephopathy as well as IgA nephropathy in a patient with anti-phospholipid antibody syndrome accompanying glo-merulonephritis. Authors experienced a 37-year-old male patient who presented with generalized edema at the moment of follow-up for primary antiphos-pholipid syndrome accampanying systemic thrombotic events. Anticardiolipin antibody-IgM positivity was detected by seroligic test but no evidence for systemic lupus erythematosus was found. Kidney biopsy showed mesangial IgA deposition without th throm-botic microangiopathy of gomerular capillaries and was diagnosed finally as primary antiphospholipid syndrome with IgA nephropathy. Patient's symptom was relieved with steroids and anti platelete agents and now he is being follow-up to out patient department. This case suggests some possibility that anticardiolipin antibody may induce the IgA nephropathy. Therefore clinician should have concern about the relationship between antiphospholipid antibody and immune mediate glomerulonephritis.
