Membranous glomerulonephritis associated with pancreatic tuberculosis / 대한내과학회지
Korean Journal of Medicine
; : 546-550, 2008.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-49183
Biblioteca responsável:
WPRO
ABSTRACT
A 51-year old man presented with generalized edema for 10 days. He was admitted to the hospital for a renal biopsy, and a pancreatic mass was incidentally detected by ultrasonography. The renal biopsy was consistent with membranous glomerulonephritis and the pancreas biopsy revealed chronic granulomatous inflammation with multinucleated giant cells, which was suggestive of tuberculosis of the pancreas. The patient was initially treated with a steroid and anti-tuberculosis drugs, but the proteinuria in the nephrotic range persisted throughout the 3-month follow-up. With the presumed diagnosis of tuberculosis-induced membranous nephropathy, immunosuppressant therapy was stopped and anti-tuberculosis drugs were administered for 31 months. With anti-tuberculous treatment, the proteinuria was reduced from 22 g/day to 0.57 g/day. A follow-up abdominal CT revealed a marked reduction in the size of the pancreatic mass. This finding suggests that the membranous nephropathy in our case was related to the pancreatic tuberculosis rather than it being related to primary nephrotic syndrome.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
Doenças Negligenciadas
Problema de saúde:
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
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Doenças Negligenciadas
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Tuberculose
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pâncreas
/
Proteinúria
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Tuberculose
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Biópsia
/
Glomerulonefrite Membranosa
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Células Gigantes
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Seguimentos
/
Edema
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Inflamação
/
Síndrome Nefrótica
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2008
Tipo de documento:
Artigo