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Pulmonary hemorrhage with hematuria: do not forget IgA nephropathy.

Authors
  • Oluwole, Kemi
  • Esuzor, Linda
  • Adebiyi, Oluwafisayo
  • Nzerue, Chike
  • Faulkner, Marquetta
  • Umeukeje, Ebele
  • Paueksakon, Paisit
Type
Published Article
Journal
Clinical kidney journal
Publication Date
Oct 01, 2012
Volume
5
Issue
5
Pages
463–466
Identifiers
DOI: 10.1093/ckj/sfs095
PMID: 26019828
Source
Medline
Keywords
License
Unknown

Abstract

IgA nephropathy is the commonest cause of glomerulonephritis worldwide, and is usually a renal-limited disease. In rare cases, IgA nephropathy may also present with a pulmonary-renal syndrome in which pulmonary hemorrhage is a critical feature. Patients presenting with IgA nephropathy and pulmonary hemorrhage have high morbidity and are at high risk for mortality unless rapid immunosuppressive therapy is instituted. We present a case of IgA nephropathy complicated by pulmonary hemorrhage in which immunosuppressive therapy led to a good outcome, and review the literature on similar cases and the outcome of therapy.

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