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비전형적 혈청학적 소견을 보인 막성 루프스 신염 1예 (Lupus Membranous Nephropathy with Atypical Serology) |
박기령, 최규복, 강덕희, 윤견일, 성순희 (Ki Ryung Park, Kyu Bok Vhoi, Duk Hee Kang, Kyun Il Yoon and Sun Hee Sung) |
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Abstract |
Glomerulonephritis is the common manifestation of SLE and occurs in approximately 60-75% of patients. However, renal involvement as an initial presentation of SLE is not frequent finding. Serum complement levels and anti-ds DNA titer are useful tests in assessing the activity of lupus nephritis, but the level of anti-ds DNA is often normal in patients with pure membranous disease. With the above characteristics, this case shows atypical serology that is positive anti-La/SSB which is related with the absence of nephritis. |
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