A 22-month-old Boy with Acute Glomerulonephritis Coexistent with Hemolytic Anemia and Idiopathic Thrombocytopenia
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Hemolytic anemia and thrombocytopenia are rare clinical manifestations of acute glomerulonephritis. Initially, in all such cases, a diagnosis of hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, systemic lupus erythematosus, and amyloidosis should be ruled out. The presence of hemolytic anemia and thrombocytopenia is rare, but possible, in a case of acute poststreptococcal glomerulonephritis, and may result in delayed diagnosis or misdiagnosis. Correct and timely diagnosis would ensure adequate treatment in such patients. We report of a 22-month-old boy with acute glomerulonephritis coexistent with hemolytic anemia and idiopathic thrombocytopenia.
Abstract
Hemolytic anemia and thrombocytopenia are rare clinical manifestations of acute glomerulonephritis. Initially, in all such cases, a diagnosis of hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, systemic lupus erythematosus, and amyloidosis should be ruled out. The presence of hemolytic anemia and thrombocytopenia is rare, but possible, in a case of acute poststreptococcal glomerulonephritis, and may result in delayed diagnosis or misdiagnosis. Correct and timely diagnosis would ensure adequate treatment in such patients. We report of a 22-month-old boy with acute glomerulonephritis coexistent with hemolytic anemia and idiopathic thrombocytopenia.
참고문헌 (17)
- Ahn SY, "Acute poststreptococcal glomerulonephritis:an update", Curr Opin Pediatr, 20, pp.157~162 (2008)
- Ahn SY, "Acute poststreptococcal glomerulonephritis : an update", Current opinion in pediatrics, 20, pp.157~162 (2008)
- Michel M, "The spectrum of Evans syndrome in adults : new insight into the disease based on the analysis of 68 cases", Blood, 114, pp.3167~3172 (2009)
- Savasan S, "Increased lymphocyte Fas expression and high incidence of common variable immunodeficiency disorder in childhood Evans’ syndrome", Clin Immunol, 125, pp.224~229 (2007)
- Sachs UJ, "Does a negative direct antiglobulin test exclude warm autoimmune haemolytic anaemia? A prospective study of 504 cases", Br J Haematol, 32, pp.655~656 (2006)
- Liesveld JL, "Variability of the erythropoietic response in autoimmune hemolytic anemia : analysis of 109 cases", Blood, 69, pp.820~826 (1987)
- Ahn SY, "Acute poststreptococcal glomerulonephritis : an update", Curr Opin Pediatr, 20, pp.157~162 (2008)
- Oda T, "Localization of mephritis-associated plasmin receptor in acute poststreptococcal glomerulonephritis", Hum Pathol, 41, pp.1276~1285 (2010)
- Yamakami K, "The potential role for nephritis-associated plasmin receptor in acute poststreptococcal glomerulonephritis", Methods, 21, pp.185~197 (2000)
- Eison TM, "Post-streptococcal acute glomerulonephritis in children : clinical features and pathogenesis", Peidatr Nephrol, 26, pp.165~180 (2011)
- Watanabe T, "An update on glomerulopathies - clinical and treatment aspects", pp.151~168 (2011), InTech
- Gehrs BC, "Autoimmune hemolytic anemia", Am J Hematol, 69, pp.258~271 (2002)
- Rizkallah MF, "Acute thrombocytopenic purpura and poststreptococcal acute glomerulonephritis in a child", Clin Pediatr, 23, pp.581~583 (1984)
- Muguruma T, "Acute thrombocytopenia associated with post-streptococcal acute glomerulonephritis", J Paediatr Child Health, 36, pp.401~402 (2000)
- Benudiz N, "Recognizing the elusive signs and symptoms of PSGN", Jaapa, 20, pp.20~25 (2007)
- George JN, "How I treat patients with thrombotic thrombocytopenic purpura : 2010", Blood, 116, pp.4060~4069 (2010)
- Eknoyan G, "Renal involvement in patients with thrombotic thrombocytopenic purpura", Am J Nephrol, 6, pp.117~131 (1986)