A Case of Systemic Lupus Erythematosus Involving the Kidneys in a Patient with IgA Nephropathy / 대한류마티스학회지
The Journal of the Korean Rheumatism Association
;
: 316-320, 2010.
Article
in Korean
| WPRIM
| ID: wpr-42507
ABSTRACT
Renal involvement in systemic lupus erythematosus (SLE) is a typical manifestation of the disease. The occurrence of non-lupus nephritis, especially IgA nephropathy (IgAN), in patients with SLE has rarely been reported. We describe the case of a 21-year-old woman who was diagnosed with IgAN and subacute necrotizing lymphadenitis, and her renal lesion biopsy was typical of lupus nephritis (ISN/RPS Class III). Although IgAN and lupus nephritis share some common physiopathological characteristics, their laboratory, histopathologic findings, and the extra-renal clinical manifestations are different and support a different pathogenesis. Our case highlights the importance of a renal biopsy in patients with lupus and urinary alterations despite underlying IgAN. A correct diagnosis would permit the most appropriate immunosuppressive treatments to be considered.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Biopsy
/
Lupus Nephritis
/
Immunoglobulin A
/
Glomerulonephritis, IGA
/
Kidney
/
Lupus Erythematosus, Systemic
/
Lymphadenitis
/
Nephritis
Limits:
Female
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Rheumatism Association
Year:
2010
Type:
Article
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