A Case of Immunoglobulin A Nephropathy with Nephrotic Syndrome in a Patient with Behçet's Disease

Korean Journal of Nephrology 2008;27(5):584-588.

Seung-woon Jun, M.D., In Hee Lee, M.D. and Jung-Yoon Choe, M.D.

Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea

증례 : 베체트병 환자에서 발생한 신증후군 양상을 보인 면역글로불린 A 신증

전승운, 이인희, 최정윤

대구가톨릭대학교 의과대학 내과학교실

Abstract

Behcet's disease (BD) is a rare multisystemic vasculitis characterized by recurrent oral and genital ulcers, uveitis, and skin lesions. Renal involvement in BD is more frequent than has been recognized. However, there have been a few reports of glomerulonephritis associated with BD in Korea. We report here a case of IgA nephropathy with nephrotic syndrome in a patient with BD. A 44-year-old woman with BD was admitted for generalized edema which had developed 1 month ago. Routine renal workup revealed heavy proteinuria and gross hematuria. Twenty-four hour urinary protein excretion was 9.8 g/day. Renal biopsy demonstrated IgA nephropathy. She was treated with oral prednisolone, colchicine and azathioprine. The edema and proteinuria gradually improved. Three months later, urine protein to creatinine ratio decreased to 1.8 and her renal function was well preserved.

Key Words: Behcet's disease, IgA nephropathy, Nephrotic syndrome