A Case of ANCA-associated Pauci-immune Crescentic Glomerulonephritis in Juvenile Rheumatoid Arthritis
Journal of the Korean Society of Pediatric Nephrology
;
: 231-236, 2005.
Artículo
en Coreano
| WPRIM
| ID: wpr-195628
ABSTRACT
Juvenile rheumatoid arthritis(JRA) is the most common major connective tissue disease in children. Renal involvement in JRA is rare. Among the renal lesions that have been reported in JRA, amyloidosis and drug-induced nephropathy are the most common. Crescentic glomerulonephritis in JRA has rarely been reported. We report a case of ANCA-associated pauci-immune crescentic glomerulonephritis in JRA. The patient was a 15-year old boy with a 3-year history of JRA. He presented with gross hematuria, proteinuria, positive p-ANCA and elevation of BUN and creatinine. Pathologic findings revealed focal necrotizing and crescentic glomerulonephritis. There were no significant immunoglobulin or complement deposits. His renal function recovered after intravenous methylprednisolone pulse therapy and oral steroid use. In Korea, this is the first reported case of pauci-immune crescentic glomerulonephritis in JRA.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Artritis Juvenil
/
Proteinuria
/
Proteínas del Sistema Complemento
/
Inmunoglobulinas
/
Metilprednisolona
/
Enfermedades del Tejido Conjuntivo
/
Anticuerpos Anticitoplasma de Neutrófilos
/
Creatinina
/
Glomerulonefritis
/
Hematuria
Límite:
Adolescente
/
Niño
/
Humanos
/
Masculino
País/Región como asunto:
Asia
Idioma:
Coreano
Revista:
Journal of the Korean Society of Pediatric Nephrology
Año:
2005
Tipo del documento:
Artículo
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