IgA nephropathy occurring in the context of previous acute glomerulonephritis.

Abstract:

:A 37-year-old female presented with acute onset of glomerulonephritis 10 days following an upper respiratory infection. Serum complement components were depressed and proteinuria exceeded 3.0 g daily. Renal biopsy revealed granular staining of IgG and C3 along the basement membrane as well as small amounts of IgA in a linear pattern. Gradual resolution of symptoms was followed by recrudescent proteinuria 2 years later. Renal biopsy at this time revealed large deposits of IgA in a mesangial staining pattern consistent with a diagnosis of IgA nephropathy. Possible mechanisms for this unusual morphologic transformation include enhanced mesangial permeability as well as mesangial sequestration of an exogenous antigen.

journal_name

Nephron

journal_title

Nephron

authors

Yoshizawa N,McClung JA,Ohshima S,Takahashi K,Treser G

doi

10.1159/000183980

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

167-73

issue

3

eissn

1660-8151

issn

2235-3186

journal_volume

44

pub_type

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