論文

査読有り
2014年5月

A case of antiglomerular basement membrane glomerulonephritis complicated by membranous nephropathy.

CEN case reports
  • Akira Iguchi
  • ,
  • Tomomi Ishikawa
  • ,
  • Hajime Yamazaki
  • ,
  • Yuichi Sakamaki
  • ,
  • Tomoyuki Ito
  • ,
  • Yasuo Watanabe
  • ,
  • Takako Saeki
  • ,
  • Yumi Ito
  • ,
  • Naohumi Imai
  • ,
  • Ichiei Narita

3
1
開始ページ
94
終了ページ
99
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s13730-013-0094-x

The sequential or simultaneous presentation of anti-glomerular basement membrane (anti-GBM) glomerulonephritis with membranous nephropathy (MN) has been infrequently reported. Although the mechanism underlying MN superimposed on anti-GBM glomerulonephritis is unknown, the two entities are believed to be interrelated. We report the case of a 75-year-old woman diagnosed with rapidly progressive glomerulonephritis. Renal biopsy revealed crescentic glomerulonephritis with linear and granular staining of immunofluorescent IgG1 and IgG4 granular staining on the capillary loops. Electron microscopy revealed extensive subepithelial deposits. These findings suggested simultaneous development of anti-GBM glomerulonephritis and MN in this case. Serum phospholipase A2 receptor (PLA2R) antibody was negative. The patient was treated with prednisolone and plasma exchange, resulting in resolution of renal insufficiency and a decrease in urinary protein. The rapid decrease in urinary protein and absence of PLA2R antibody suggest that the mechanism of MN associated with anti-GBM glomerulonephritis differs from that of primary MN.

リンク情報
DOI
https://doi.org/10.1007/s13730-013-0094-x
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28509257
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5411541
ID情報
  • DOI : 10.1007/s13730-013-0094-x
  • PubMed ID : 28509257
  • PubMed Central 記事ID : PMC5411541

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