A 10-YEAR-OLD GIRL WITH IGA NEPHROPATHY WHO 5 YEARS LATER DEVELOPED THE CHARACTERISTIC FEATURES OF HENOCH-SCHÖNLEIN PURPURA NEPHRITIS
スポンサーリンク
概要
- 論文の詳細を見る
We report a patient who developed Henoch-Schönlein purpura (HSP) 5 years after she presented with immunoglobulin A nephropathy (IgAN). A 10-year-old Japanese female was identified with proteinuria and hematuria by a school urinary screening. The first renal biopsy showed mesangial proliferative glomerulonephritis with immunofluorescent findings consistent with IgAN. She was treated with prednisolone, warfarin, and dilazep dihydrochloride, and the proteinuria and hematuria disappeared 4 months after the onset of treatment. Five years later she developed abdominal pain, gross hematuria and a classic purpuric rash of HSP after acute pharyngitis. The second renal biopsy showed diffuse mesangial proliferation with cellular crescent formation, and the patient was treated with methylprednisolone pulse therapy, prednisolone and mizoribine, resulting in a gradual decrease in urinary protein excretion. Our patient is unusual in that she developed Henoch-Schönlein purpura nephritis 5 years after clinical and biopsy evidence of IgAN, which suggests that IgAN and HSP are different clinical manifestations of the same disease, probably sharing a common pathogenesis.
著者
-
Hosoya Mitsuaki
Department Of Pediatrics Fukushima Medical University
-
Kawasaki Yukihiko
Department Of Pediatrics Fukushima Medical University School Of Medicine
-
Abe Yusaku
Department Of Pediatrics Fukushima Medical University School Of Medicine
-
Suyama Kazuhide
Department Of Pediatrics Fukushima Medical University School Of Medicine
-
Hashimoto Koichi
Department Of Biotechnology And Life Science Graduate School Of Engineering Tokyo University Of Agri
-
Kaneko Mariko
Department Of Developmental Medical Sciences Institute Of International Health Graduate School Of Me
-
Ushijima Yumiko
Department Of Pediatrics Fukushima Medical University School Of Medicine
-
Ohara Shinichiro
Department Of Pediatrics Fukushima Medical University School Of Medicine
-
OHARA SHINICHIRO
Department of Pediatrics, Fukushima Medical University
-
KAWASAKI YUKIHIKO
Department of Pediatrics, Fukushima Medical University
-
KANEKO MARIKO
Department of Pediatrics, Fukushima Medical University
-
Chishiki Mina
Department of Pediatrics, Fukushima Medical University
-
SUYAMA KAZUHIDE
Department of Pediatrics, Fukushima Medical University
-
USHIJIMA YUMIKO
Department of Pediatrics, Fukushima Medical University
-
HOSOYA MITSUAKI
Department of Pediatrics
関連論文
- ウイルス性腎炎の病態解明 : 特に慢性腎炎モデルマウスを用いたウイルス感染による腎炎増悪機序の解明
- Development of Glomerular Endothelial Cells, Podocytes and Mesangial Cells in the Human Fetus and Infant
- OJ-480 Early Elevation of Serum lnterleukin-6 and High Sensitive CRP Predicts LV Remodeling in Reperfused Myocardial Infarction(Old Myocardial Infarction/Remodeling 1 (IHD) : OJ59)(Oral Presentation (Japanese))
- 233 インフリキシマブが有効であった若年性特発性関節炎の1例(膠原病と類縁疾患3,第58回日本アレルギー学会秋季学術大会)
- 小児膜性増殖性糸球体腎炎における予後関連因子の検討
- PCR 法により診断した非定型的経過をとったエンテロウイルス脳炎の2症例
- 1997年に福島県県中地方で流行した無菌性髄膜炎の病原診断
- プロスタサイクリンのRSV感染症病態への関与
- WS-2 感染性胃腸炎の抗菌薬治療指針 (学会報告 第1回小児感染症専門医育成フォーラム)
- RS ウイルス初感染下部気道感染症254症例の臨床疫学的検討
- P4-3-2 タクロリムス投与によりステロイドの漸減が可能であった混合性結合組織病(MCTD)の1男児例(P4-3自己免疫,自己免疫性疾患2,一般演題,第22回日本アレルギー学会春季臨床大会)
- 臨床研究・症例報告 血清IL-6,IL-10とMatrix metalloproteinase-3値の継続的変化をみた川崎病の同胞例
- OE-385 Efficacy of Post-stress Early Diastolic Filling Rate Derived from ECG-gated Myocardial Perfusion SPECT to Identify Severe Coronary Artery Disease(OE65,Nuclear Cardiology (Coronary, Myocardium) 1 (I),Oral Presentation (English),The 73rd Annual Scien
- Trial of intraventricular ribavirin therapy for subacute sclerosing panencephalitis in Japan
- 小児の上咽頭から分離された Haemophilus influenzae の薬剤耐性化の動向
- Novel Catalytic Activity of Nitrile Hydratase from Rhodococcus sp. N771(ENZYMOLOGY, PROTEIN ENGINEERING, AND ENZYME TECHNOLOGY)
- Mutational Study on αGln90 of Fe-Type Nitrile Hydratase from Rhodococcus sp. N771
- PJ-555 Which Statins have Good Effects in Left Ventricular Remodeling?(Old myocardial Infarction/Remodeling 2 (IHD) : PJ93)(Poster Session (Japanese))
- RSV感染症における血清 RANTES 濃度と好酸球
- A 10-YEAR-OLD GIRL WITH IGA NEPHROPATHY WHO 5 YEARS LATER DEVELOPED THE CHARACTERISTIC FEATURES OF HENOCH-SCHÖNLEIN PURPURA NEPHRITIS
- 感染症 ワクチンの同時接種を考える
- 2001年から2003年に福島県相馬地区で流行したノロウイルスによる胃腸炎についての分子疫学的検討
- First report of an outbreak of aseptic meningitis caused by echovirus type 13 in Japan
- Left Coronary Artery-Left Ventricle Fistula With Right Coronary Artery Spasm
- Tonsillectomy with Methylprednisolone Pulse Therapy as Rescue Treatment for Steroid-Resistant IgA Nephropathy in Children
- 臨床 亜急性硬化性全脳炎に対する治療の動向 (特集 中枢神経系感染症のUp-To-Date)
- Laboratory characteristics of acute encephalopathy with multiple organ dysfunctions
- Combination therapy with intraventricular interferon-α and ribavirin for subacute sclerosing panencephalitis and monitoring measles virus RNA by quantitative PCR assay
- Uninephrectomy induces progressive glomerulosclerosis and apoptosis in anti-Thy1 glomerulonephritis
- The trend of drug-resistant Streptococcus pneumoniae from nasopharynx of children
- Efficacy of Tonsillectomy Plus Methylprednisolone Pulse Therapy for a Child with Henoch-Schoenlein Purpura Nephritis
- The Emergence of Drug-Resistant Streptococcus pneumoniae and Host Risk Factors for Carriage of Drug-Resistant Genes in Northeastern Japan
- IgA Nephropathy in a Patient with Dominant Dystrophic Epidermolysis Bullosa
- Efficacy of cyclosporine therapy for systemic lupus erythematosus in childhood
- Agmatine Suppresses Mesangial Cell Proliferation by Modulating Polyamine Metabolism
- Bucillamine-induced nephropathy in a child with juvenile rheumatoid arthritis and Kartagener's syndrome
- P2-16-2 トシル酸スプラタストで寛解を維持できた好酸球性胃腸炎による蛋白漏出性胃腸症の1例(P2-16 好酸球性炎症,ポスターセッション,第23回日本アレルギー学会春季臨床大会)
- MS4-2 全身性エリテマトーデスを合併したIgA欠損症と部分的IgG欠損症の1男児例(MS4 自己免疫疾患2,ミニシンポジウム,第23回日本アレルギー学会春季臨床大会)
- 中枢神経再発後,長期生存しているStage 4神経芽腫の1例
- 4.JPLT2に基づく化学療法後に発症した二次性骨髄単球性白血病の1例(第32回東北小児がん研究会)
- RSウイルス迅速診断の有用性と問題点 : 定量的リアルタイムPCR法をスタンダードとした検討
- Association between antibody response against cytomegalovirus strain-specific glycoprotein H epitopes and HLA-DR
- Relationship between Decreasing Fertility during the Post-War Period and Maternal Age in a Japanese Population
- Differences in clinical manifestations of influenza-associated encephalopathy by age
- Accumulation of Macrophages Expressing Myeloid-Related Protein 8 Associated with the Progression of Sclerotic Changes in Children with IgA Nephropathy
- Girl with garland-pattern poststreptococcal acute glomerulonephritis presenting with renal failure and nephrotic syndrome
- Thin basement membrane disease with membranoproliferative glomerulonephritis in a 13-year-old girl
- A boy with systemic lupus erythematosus (SLE) suggesting a familial predisposition for SLE
- Outcome of acute necrotizing encephalopathy in relation to treatment with corticosteroids and gammaglobulin
- 小児の呼吸困難 (症状からアプローチする プライマリケア)
- RSウイルス感染と急性脳炎・脳症 (特集 RSウイルス感染症対策up to date)
- Possible pathologenic role of interleukin-5 and eosino cationic protein in Henoch-Schonlein purpura nephritis
- Role of serum neutralizing antibody in reinfection of respiratory syncytial virus
- Image-Based Visual PID Control of a Micro Helicopter Using a Stationary Camera
- Suppression of SOCS3 increases susceptibility of renal cell carcinoma to interferon-α
- ポリオワクチン : 不活化ワクチン導入に向けて (特集 小児感染症2011 : 今どうなっているの?小児の感染症) -- (小児感染症に対する予防接種,最近の考え方は?)
- Low-Concentration Deep Traps in 4H-SiC Grown with High Growth Rate by Chemical Vapor Deposition
- RSウイルス感染と喘息発症 : RSV感染とSOCS発現について
- RD遺伝子の特異的欠如の検出により播種性BCG感染症と診断した重症複合型免疫不全症の1例
- Oral valganciclovir treatment for congenital cytomegalovirus infection
- 診療 発疹症と神経合併症
- 災害時のワクチン接種 (特集 今だから知っておきたいワクチンの話題) -- (ワクチン共通の話題)
- Preface
- 福島リポート(第9回)原子力災害と小児医療 : これまでの対応と今後の課題
- Successful therapy with tonsillectomy for severe ISKDC grade VI Henoch-Schonlein purpura nephritis and persistent nephrotic syndrome
- 東日本大震災と阪神・淡路大震災について
- A review on vision-based control of robot manipulators
- P139 股関節炎を初発症状とし若年性慢性関節炎と鑑別を要した強皮症の1男児例(自己免疫疾患,ポスターセッション,第24回日本アレルギー学会春季臨床大会)
- 東日本大震災と小児医療 : これまでの対応とこれからの対策
- 原子力災害で何が起こったのか, 我々の経験
- A CHALLENGE TO APPROPRIATE ANTIBIOTIC USE IN CHILDREN WITH RESPIRATORY INFECTIONS: A 5-YEAR SINGLE-INSTITUTION EXPERIENCE
- EVALUATION OF ARTERIAL CATHETER MANAGEMENT IN VERY PRETERM NEONATES: PERIPHERAL ARTERY VERSUS UMBILICAL ARTERY
- 「日本小児感染症学会は予防接種行政を注視しています」と発信しましょう
- A CASE OF HENOCH-SCHOENLEIN PURPURA NEPHRITIS RECURRING AFTER 3 YEARS REMISSION
- NON-ANTIBIOTIC TREATMENT FOR PEDIATRIC OUTPATIENTS WITH COMMON COLD INHIBITS THE EMERGENCE OF DRUG RESISTANT PNEUMOCOCCI
- The pathogenesis and treatment of IgA nephropathy
- HENOCH-SCHÖNLEIN PURPURA NEPHRITIS IN CHILDHOOD: PATHOGENESIS, PROGNOSTIC FACTORS AND TREATMENT
- Silylation of relatively acidic compounds with alkyl trimethylsilylacetates.
- THE ROLE OF FB21 AS A MARKER OF GLOMERULAR ENDOTHELIAL CELL INJURY
- A Condition for Better Estimation Using Asynchronous Sampling than Synchronous Sampling
- FOCAL BACTERIAL NEPHRITIS WITHOUT PYURIA IN A BOY PRESENTING WITH HIGH URINARY β2-MG AND NAG LEVELS
- Characteristics of Group B Streptococcus Isolated from Infants with Invasive Infections: A Population-Based Study in Japan