Diagnosis of Systemic Lupus Erythematosus During Medical Follow-up After Urinary Screening
Journal of the Korean Society of Pediatric Nephrology
;
: 227-232, 2008.
Artigo
em Inglês
| WPRIM
| ID: wpr-225427
ABSTRACT
A 16-year-old girl presented with proteinuria and microscopic hematuria detected through mass urinary screening and was diagnosed as having suspected postinfectious glomerulonephritis by renal biopsy. However, heavy proteinuria did not respond to angiotensin converting enzyme inhibitor therapy. After 6 months, cervical lymphadenitis developed and a neck node biopsy showed subacute necrotizing lymphadenitis. After an additional 2 months, she developed facial erythema and thrombocytopenia. A repeat renal biopsy demonstrated lupus nephritis class IV. She was treated with pulse methylprednisolone(500 mg/day intravenously for 3 consecutive days) followed by oral deflazacort and monthly intravenous cyclophosphamide pulse(1 g/m2) for 6 months. We report a case diagnosed as systemic lupus erythematosus(SLE) during medical follow-up after urinary screening.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pregnenodionas
/
Proteinúria
/
Trombocitopenia
/
Biópsia
/
Nefrite Lúpica
/
Programas de Rastreamento
/
Seguimentos
/
Peptidil Dipeptidase A
/
Ciclofosfamida
/
Eritema
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Adolescente
/
Humanos
Idioma:
Inglês
Revista:
Journal of the Korean Society of Pediatric Nephrology
Ano de publicação:
2008
Tipo de documento:
Artigo
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