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01.12.2019 | Case report | Ausgabe 1/2019 Open Access

BMC Nephrology 1/2019

A case report of immunoglobulin M nephropathy manifesting as crescentic glomerulonephritis and nephrotic syndrome in an adult

Zeitschrift:
BMC Nephrology > Ausgabe 1/2019
Autoren:
Kyoung Sook Park, Ea Wha Kang, Jeong Hae Kie
Wichtige Hinweise
Kyoung Sook Park and Ea Wha Kang contributed equally to this work.

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Abstract

Background

The nature of immunoglobulin M (IgM) nephropathy has been controversial for a long time, but it is now considered an independent disease like immunoglobulin A nephropathy. IgM nephropathy has been known to have various clinical manifestations ranging from asymptomatic hematuria and/or proteinuria to nephrotic syndrome. Recently, one case of IgM nephropathy manifesting as crescentic glomerulonephritis (GN) was reported in a child.

Case presentation

We experienced a case of IgM nephropathy that manifested clinically as nephritic and nephrotic syndrome with pathologically confirmed crescentic GN in a 30-year-old woman. We administered a calcineurin inhibitor and corticosteroids to treat the ongoing nephrotic syndrome after remission of crescentic GN. As a result, her proteinuria was significantly reduced and edema improved.

Conclusions

We described a case of IgM nephropathy in an adult patient who initially developed crescentic GN with nephritic and nephrotic syndrome. This case report could contribute to a deeper understanding of IgM nephropathy.
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