Interstitial Nephritis and IgA Nephropathy in a Patient with Acute Hepatitis A |
Seung Seok Han, M.D.1, Min-Kyung Kim, M.D.1, Byoung Yong Choi, M.D.1 Hee-Suk Min, M.D.1, Hack Lyoung Kim, M.D.1 , Chun Soo Lim, M.D.1,2 Hyun Ju Lee, M.D.3, Kyung Chul Moon, M.D.3, Yun Kyu Oh, M.D.1,2 |
Department of Internal Medicine1 Seoul National University College of Medicine Department of Internal Medicine2 Seoul National University Boramae Hospital Department of Pathology3 Seoul National University College of Medicine |
증례 : 급성 A형 간염 환자에서 발생한 간질성 신염과 IgA 신병증의 병발에 의한 급성 신부전 -1예 보고- |
한승석1 김민경1 최병용1 민희석1 김학령1 정용진1,2 임춘수1,2 이현주3 문경철3 오윤규1,2 |
서울대학교 의과대학 내과학교실1, 서울대학교 보라매병원 내과2, 서울대학교 의과대학 병리학교실3 |
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Abstract |
Hepatitis A is one of the most common infectious diseases. It is a self-limiting disease affecting the liver. Although extrahepatic manifestations are not common, a few cases associated with renal diseases have been reported. In those cases, patients presented with acute tubular necrosis, acute interstitial nephritis, IgA nephropathy, mesangioproliferative glomerulonephritis, etc. We here report a case of interstitial nephritis and IgA nephropathy associated with acute hepatitis A. A previously healthy 31-yearold woman was admitted with an acute hepatitis A, which was confirmed by IgM anti-hepatitis A antibody.
Acute renal failure was developed and hemodialysis was urgently required. The patient had acute interstitial nephritis and IgA nephropathy diagnosed by kidney biopsy. Liver and kidney functions gradually recovered their normal conditions.
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Key Words:
Hepatitis A, Acute renal failure, Interstitial nephritis, IgA nephropathy |
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