Membranous Nephropathy and Kimura's Disease Manifesting a Hip Mass. A Case Report with Literature Review

被引：18

作者：

Obata, Yoko ^{[1
,2
,3
]}

Furusu, Akira ^{[1
]}

Nishino, Tomoya ^{[1
]}

Ichinose, Hiroshi ^{[1
,3
]}

Ohnita, Aki ^{[4
]}

Iwasaki, Keisuke ^{[5
]}

Taguchi, Takashi ^{[6
]}

Kohno, Shigeru ^{[1
]}

机构：

[1] Nagasaki Univ, Sch Med, Dept Internal Med 2, Nagasaki 852, Japan

[2] Nagasaki Univ Hosp, Career Dev Ctr Med Doctor, Nagasaki, Japan

[3] Hokusho Cent Hosp, Sasebo, Japan

[4] Ureshino Med Ctr, Ureshino, Japan

[5] Sasebo City Gen Hosp, Sasebo, Japan

[6] Nagasaki Univ, Grad Sch Biomed Sci, Dept Pathol, Nagasaki 852, Japan

来源：

INTERNAL MEDICINE | 2010年 / 49卷 / 14期

关键词：

membranous nephropathy; Kimura's disease; eosinophilia; hip mass; NEPHROTIC SYNDROME; GLOMERULONEPHRITIS; PATIENT;

D O I：

10.2169/internalmedicine.49.2977

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of Kimura's disease with membranous nephropathy. A 15-year-old Japanese boy was referred to our hospital with proteinuria and a subcutaneous mass in the hip. Renal biopsy demonstrated secondary membranous nephropathy (MN) with mild mesangial proliferation and some electron-dense deposits in the mesangium. Laboratory tests revealed eosinophilia and a high level of serum IgE, which are common findings in Kimura's disease. A biopsy of the mass in the hip was performed and Kimura's disease was diagnosed. Treatment with oral prednisolone resulted in a decrease of proteinuria and regression of the subcutaneous mass. Kimura's disease should be included in the differential diagnosis of secondary MN.

引用

页码：1405 / 1409

页数：5

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