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Fabry disease previously diagnosed as Henoch- Schonlein purpura

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초록

Henoch-Schonlein purpura (HSP) is a generalized vasculitis characterized by manifestations of the skin, joints, gastrointestinal tract, and renal involvement. Although HSP can occur at any age and is usually a self-limited disease in children, it is less common and has a poor prognosis in adults. Renal involvement affects approximately one-third of HSP patients, and varies from intermittent hematuria and proteinuria, to severe nephrotic-nephritic syndrome with kidney histology being identical to that of immunoglobin A (IgA) nephropathy.

Abstract

Henoch-Schonlein purpura (HSP) is a generalized vasculitis characterized by manifestations of the skin, joints, gastrointestinal tract, and renal involvement. Although HSP can occur at any age and is usually a self-limited disease in children, it is less common and has a poor prognosis in adults. Renal involvement affects approximately one-third of HSP patients, and varies from intermittent hematuria and proteinuria, to severe nephrotic-nephritic syndrome with kidney histology being identical to that of immunoglobin A (IgA) nephropathy.

참고문헌 (5)

  1. Yoshida A, "Fabry-like laminated myelin body associated with IgA nephropathy", Nihon Jinzo Gakkai Shi, 36, pp.1303~1307 (1994)
  2. Kawamura O, "Subclinical Fabry’s disease occurring in the context of IgA nephropathy", Clin Nephrol, 47, pp.71~75 (1997)
  3. Pisani A, "Fabry nephropathy in a female with superposed IgA glomerulonephritis", G Ital Nefrol, 22, pp.385~389 (2005)
  4. Whybra C, "IgA nephropathy in two adolescent sisters heterozygous for Fabry disease", Pediatr Nephrol, 21, pp.1251~1256 (2006)
  5. Shimohata H, "Hemizygous Fabry disease associated with IgA nephropathy: a case report", J Nephrol, 22, pp.682~684 (2009)

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