Membranous Nephropathy and Kimura's Disease Manifesting a Hip Mass. A Case Report with Literature Review
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概要
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We report a case of Kimura's disease with membranous nephropathy. A 15-year-old Japanese boy was referred to our hospital with proteinuria and a subcutaneous mass in the hip. Renal biopsy demonstrated secondary membranous nephropathy (MN) with mild mesangial proliferation and some electron-dense deposits in the mesangium. Laboratory tests revealed eosinophilia and a high level of serum IgE, which are common findings in Kimura's disease. A biopsy of the mass in the hip was performed and Kimura's disease was diagnosed. Treatment with oral prednisolone resulted in a decrease of proteinuria and regression of the subcutaneous mass. Kimura's disease should be included in the differential diagnosis of secondary MN.
著者
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IWASAKI KEISUKE
Sasebo Municipal General Hospital
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Furusu Akira
The Second Department of Internal Medicine
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Kohno Shigeru
The Scientific Assembly For Infection And Tuberculosis Of The Japanese Respiratory Society
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Taguchi Takashi
Department Of Nuclear Engineering Hokkaido University
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Nishino Tomoya
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Obata Yoko
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Ichinose Hiroshi
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Ohnita Aki
Ureshino Medical Center
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Iwasaki Keisuke
Sasebo City General Hospital
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