Korean Journal of Nephrology 2011;30(6):651-655.
A Case of Crescentic IgA Nephropathy Associated with Alcoholic Liver Cirrhosis
Da Hye Jung, M.D.1, Young-Ki Lee, M.D.1, Seung Yeon Son, M.D.1, Sang Ik Hwang, M.D.1, Seung Min Lee, M.D.1, Dong Hun Lee, M.D.1, Jung Woo Noh, M.D.1, Kook-Hwan Oh, M.D.2 and Kyung Chl Moon, M.D.3
Department of Internal Medicine1
Hallym Kidney Research Institute, College of Medicine, Hallym University, Seoul, Korea Department of Internal Medicine2
Seoul National University College of Medicine, Seoul, Korea Department of Pathology3
Seoul National University College of Medicine, Seoul, Korea
증례 : 알코올성 간경변에 동반된 반월상을 보이는 IgA 신병증 1예
정다혜1, 이영기1, 손승연1, 황상익1, 이승민1, 이동훈1, 노정우1, 오국환2, 문경철3
한림대학교 의과대학 내과학교실 및 신장연구소1, 서울대학교 의과대학 내과학교실2 , 병리과학교실3
Abstract
It has been reported that IgA nephropathy is associated with alcoholic liver cirrhosis. However, crescentic glomerulonephritis or nephrotic syndrome are relatively rare. We experienced a patient with IgA nephropathy complicated with alcoholic liver cirrhosis who showed favorable clinical outcomes through steroid treatment. A 54-year-old man with alcoholic liver cirrhosis was hospitalized for generalized edema, nephrotic-range proteinuria and azotemia. We performed a renal biopsy and crescentic formations were found in half of the glomeruli. After use of steroid, azotemia and proteinuria improved gradually.
Key Words: IgA nephropathy, Alcoholic liver cirrhosis, Crescent


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