IgA 신증과 동반된 막사구체신염 -6예 보고-
Combined IgA Nephropathy and Membranous Glomerulonephritis -A Report of Six Cases-
2
조회
0
다운로드
0
인용
0
참고문헌
초록
Abstract
IgA nephropathy (IgAN) and membranous glomerulonephritis (MGN) are common in adults. However, it is unlikely that these two distinct glomerulonephrites coexist in a renal biopsy. Here, we report clinical and pathological data of six patients with concomitant existence of IgAN and MGN in renal biopsy specimens from 1990 to 2004. Five patients were male and one was female, and their ages ranged from 29 to 71 years. Four patients had microscopic hematuria, five had nephrotic range proteinuria, three had hepatitis B virus infections, three had rheumatoid factors, one had antinuclear antibodies. Two cases were developed after kidney transplant. Immunofluorescence microscopy showed characteristic findings of mesangial IgA deposits and granular IgG deposits on the capillary walls. These were confirmed by electron microscopic findings of immune-type electron-dense deposits in the mesangium and subepithelial capillary basement membranes. The pathogenesis and prognosis of the patients are discussed in this report.
참고문헌 (19)
- "An overlappingsyndrome of IgA nephropathy and membranous nephropathy", 35, pp.24~30 (1983)
- "A case of recurrent IgA nephropathycomplicated with de novo membranous nephropathy in thegraft", 73, pp.1856~60 (1984)
- "Coexistence of IgA nephropathyand membranous nephropathy", 35, pp.1293~9 (1985)
- "Glomerulonephritis associated withhepatitis B surface antigenemia", 42, pp.335~9 (1986)
- "IgA nephropathy and membranousnephropathy associated with hepatitis B surface antigenemia", 18, pp.411~4 (1987)
- "Overlapping IgA and membranousnephropathy", 88, pp.74~8 (1987)
- "Is there s simultaneous involvement of membranousand IgA nephropathy in hepatitis B antigenemia", 19, pp.120~1 (1988)
- "Pattern of double glomerulopathies", 56, pp.73~80 (1990)
- "A case of IGA nephropathy complicatedwith membranous nephropathy", 80, pp.272~3 (1991)
- "Concurrence of de novo membranous glomerulonephritis andrecurrent IgA nephropathy in a renal allograft", 42, pp.269~72 (1994)
- "Rheumatoid arthritis associatedwith membranous nephropathy and IgA nephritis with necrotizinglesions", 11, pp.1338~41 (1996)
- "Combined membranous nephropathy andIgA nephropathy", 32, pp.649~56 (1998)
- "An overlapping syndrome of IgA nephropathyand membranous nephropathy associated with hepatitisB surface antigenemia", 13, pp.934~8 (1994)
- "An allograft kidney showing bothfeatures of IgA nephropathy and membranous glomerulonephritis:a case report", 11, pp.347~50 (1996)
- "Mixed or combined IgA nephropathyand membranous glomerulonephritis", 16, pp.365~8 (1997)
- "Coexistence of membranousglomerulonephritis and IgA nephropathy in a patient with psoriasisvulgaris", 16, pp.578~83 (1997)
- "A case of overlapping syndrome ofprimary membranous nephropathy and IgA nephropathy", 17, pp.624~8 (1998)
- "A case of overlapping syndrome ofprimary IgA nephropathy and membranous nephropathy", 20, pp.506~10 (2001)
- "Superimposed nephritis:A separate entity among glomerular diseases", 7, pp.205~12 (1986)