Acute Renal Failure Associated with Kimura's Disease in a Patient with Chronic Renal Failure.
- Author:
Therasa JANG
;
Chang Whan KIM
;
Cheol Whee PARK
;
Seog Ju AHN
;
Yoon Sik CHANG
;
Byung Kee BANG
- Publication Type:Original Article
- Keywords:
Kimura's disease;
Acute renal failure;
steroid
- MeSH:
Acute Kidney Injury*;
Biopsy;
China;
Eosinophils;
Far East;
Fever;
Humans;
Japan;
Kidney Failure, Chronic*;
Lymph Nodes;
Male;
Nephrotic Syndrome;
Prednisolone;
Proteinuria;
Renal Dialysis;
Skin;
Subcutaneous Tissue
- From:Korean Journal of Nephrology
1998;17(6):983-987
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Kimura's disease is a granulomatous disease which develops in the skin, subcutaneous tissues and lymph nodes and is characterized histologically by the presence of lymphoid follicles, vascular proli- feration and infiltration with eosinophils. The disease shows geographical predilection to Japan, China and South East Asia. The exact etiology and pathogenesis remain uncertain. Some patients had proteinuria or nephrotic syndrome. We have recently experienced the superimposed oliguric acute renal failure associated with Kimura's disease in a male patient with chronic renal failure who had been managed conservatively. Inguinal lymph node biopsy revealed Kimura's disease. He recovered from acute renal failure after being treated with hemodialysis and prednisolone. Lymphadeno- pathy and fever subsided with steroid treatment. We report a case of Kimura's disease which was complicated by acute renal failure in the patient with chronic renal failure.
