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Henoch-Schönlein Nephritis Manifesting with Purpura 15 years after Diagnosis of IgA Nephropathy
Joint Authors
Shimada, Michiko
Yamabe, Hideaki
Kaizuka, Mitsuaki
Tsunoda, Satoru
Nagasawa, Tasuku
Nomura, Kazuo
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-29
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Henoch-Schönlein nephritis or immunoglobulin A (IgA) vasculitis is characterized by purpura, arthralgia, abdominal pain, and glomerulonephritis with glomerular IgA deposition.
Notably, the presence of purpura is essential to diagnose this disease.
We report the case of a patient in whom proteinuria and haematuria were detected during screening tests and he was diagnosed with IgA nephropathy at 20 years of age.
Corticosteroids were administered for 7 years and were subsequently tapered.
At 35 years of age, he noticed purpura on his lower extremities and was diagnosed with anaphylactoid purpura.
Following the appearance of purpura, urinalysis revealed an increase in urinary protein levels from 0.7 g/g creatinine (Cr) to 1.4 g/gCr, and his serum Cr levels increased from 1.1 mg/dL to 1.35 mg/dL.
Two months later purpura subsided, and his urinary protein level and serum Cr level were restored to the former levels.
Although the cause remains unknown, an interval may occasionally be observed between the appearance of purpura and urinary abnormalities.
However, to our knowledge to date, a 15-year interval is the longest interval, in such cases, reported in the literature.
American Psychological Association (APA)
Yamabe, Hideaki& Kaizuka, Mitsuaki& Tsunoda, Satoru& Nagasawa, Tasuku& Nomura, Kazuo& Shimada, Michiko. 2019. Henoch-Schönlein Nephritis Manifesting with Purpura 15 years after Diagnosis of IgA Nephropathy. Case Reports in Nephrology،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141037
Modern Language Association (MLA)
Yamabe, Hideaki…[et al.]. Henoch-Schönlein Nephritis Manifesting with Purpura 15 years after Diagnosis of IgA Nephropathy. Case Reports in Nephrology No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1141037
American Medical Association (AMA)
Yamabe, Hideaki& Kaizuka, Mitsuaki& Tsunoda, Satoru& Nagasawa, Tasuku& Nomura, Kazuo& Shimada, Michiko. Henoch-Schönlein Nephritis Manifesting with Purpura 15 years after Diagnosis of IgA Nephropathy. Case Reports in Nephrology. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141037
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141037