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A Case of Familial IgA Nephropathy

가족성 IgA 신병증 1례

  • Kim, Yu-Jin (Department of Pediatrics, College of Medicine, Chungbuk National University) ;
  • Kim, Wun-Kon (Department of Pediatrics, College of Medicine, Chungbuk National University) ;
  • Yoon, Shin-Ae (Department of Pediatrics, College of Medicine, Chungbuk National University) ;
  • Lee, Jin-Seok (Department of Pediatrics, College of Medicine, Chungbuk National University) ;
  • Ha, Tae-Sun (Department of Pediatrics, College of Medicine, Chungbuk National University)
  • 김유진 (충북대학교 의과대학 소아과학교실) ;
  • 김운곤 (충북대학교 의과대학 소아과학교실) ;
  • 윤신애 (충북대학교 의과대학 소아과학교실) ;
  • 이진석 (충북대학교 의과대학 소아과학교실) ;
  • 하태선 (충북대학교 의과대학 소아과학교실)
  • Received : 2011.03.21
  • Accepted : 2011.04.21
  • Published : 2011.04.30

Abstract

IgA nephropathy is the most common form of primary glomerulonephritis and chronic glomerular disease worldwide including Korea. Familial gathering of IgA nephropathy suggests that genetic factors contribute to the development of this disease. Although there have been many reports on familial IgA nephropathy with genetic analysis and their pedigrees, there has been few reports in Korea. We reported a partial familial IgA nephropathy pedigree with a brief review of the literatures.

IgA 신병증은 전 세계적으로 가장 흔한 원발성 사구체 질환으로 성인의 경우 30% 정도가 만성신부전으로 진행하며 소아의 경우 10% 정도가 만성신부전으로 진행한다. IgA 신병증은 전신증상이 없이 현미경적 혈뇨와 간헐적인 육안적 혈뇨를 특징으로 하며 심한 경우 단백뇨를 동반한다. IgA 신병증의 원인이나 발병기전은 정확히 알려져 있지 않으며. 국외에서는 IgA 신병증이 유전되는 가계에 대한 보고와 함께 관련 유전자 연구가 활발하지만 국내에서는 이에 대한 증례가 매우 드물다. 저자들은 국내에서 가족 내유전된 IgA 신병증에 대한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Barrat J, Feehally J. IgA nephropathy. J Am Soc Nephrol 2005;16;2088-97. https://doi.org/10.1681/ASN.2005020134
  2. Grcevska L, Ristovska V, Nikolov V, Petrusevska G, Milovanceva-Popovska M, Polenakovic M. The Oxford classification of IgA nephropathy: single centre experience. Prilozi 2010;31:7-16.
  3. Galla JH, Kohaut EC, Alexander R, Mestecky J. Racial difference in the prevalence of IgA-associated nephropathies. Lancet 1984;2: 522.
  4. Levy M. Multiplex families in IgA nephropathy. Contrib Nephrol 1993;104:354-7.
  5. Karnib HH, Sanna-Cherchi S, Zalloua PA, Medawar W, D'Agati VD, Lifton RP, et al. Characterization of a large Lebanese family segregating IgA nephropathy. Nephrol Dial Transplant 2007;22:772-7. https://doi.org/10.1093/ndt/gfl677
  6. Gharavi AG, Yan Y, Scolari F, Schena FP, Frasca GM, Ghiggeri GM, et al. IgA nephropathy, the most common cause of glomerulonephritis, is linked to 6q22-223. Nat Genet 2000;26:354-7. https://doi.org/10.1038/81677
  7. Lee JS, Park HK, Suh JS, Hahn WH, Kang SW, Park HJ, et al. Toll-like receptor 1 gene polymorphisms in childhood IgA nephropathy: a case-control study in the Korean population. International Journal of Immunogenetics 2011;133-8.
  8. Haas M. Histologic subclassification of IgA nephropathy: A clinicopathologic study of 244 cases. Am J Kidney Dis 1997;29:829-42. https://doi.org/10.1016/S0272-6386(97)90456-X
  9. D'Amico G. The commonest glomerulonephritis in the world: IgA nephropathy. Q J Med 1987;64:709-27.
  10. Berger J. IgA glomerular deposits in renal diseases. Transplant Proc 1969;1:939-44.
  11. Donadio JV, Grande JP. IgA nephropathy. N Engl J Med 2002;347:738-48. https://doi.org/10.1056/NEJMra020109
  12. Levey AS. Clinical practice. Nondiabetic kidney disease. N Engl J Med 2002;347: 1505-11. https://doi.org/10.1056/NEJMcp013462
  13. D'Amico G. Natural history of idiopathic IgA nephropathy: Role of clinical and histological prognostic factors. Am J Kidney Dis 2000; 36:227-37. https://doi.org/10.1053/ajkd.2000.8966
  14. Coppo R, D'Amico G. Factors predicting progression of IgA nephropathies. J Nephrol 2005;18:503-12.
  15. Li PK, Burns AP, So AK, Lai KN, Rees AJ. Familial IgA nephropathy: a study of HLA class II allogenotypes in a Chinese kindred. Am J Kidney Dis 1992;20:458-62. https://doi.org/10.1016/S0272-6386(12)70257-3
  16. Scolari F, Amoroso A, Savoldi S, Mazzola G, Prati E, Valzorio B, et al. Familial clustering of IgA nephropathy: further evidence in an Italian population. Am J Kidney Dis 1999; 33:857-65. https://doi.org/10.1016/S0272-6386(99)70417-8
  17. de Werra P, Morel-Maroger L, Leroux- Robert C, Richet G. Glomerulonephritis with diffuse IgA deposits in the mesangium. Study of 96 adult cases. Schweiz Med Wochenschr 1973;103:761-8.
  18. Sissons JG, Woodrow DF, Curitis, Evans DJ, Gower PE, Slooper JC, et al. Isolated glomerulonephritis with mesangial IgA deposit. Br Med J 1975;13:611-4.
  19. Tolkoff-Rubin NE, Cosimi B, Fuller T, Rubin RH, Colvin RB. IgA nephropathy in HLA identical siblings. Transplantation 1978;26: 430-3. https://doi.org/10.1097/00007890-197812000-00014
  20. Montoliu J, Darnell A, Torras A, Ercilla G, Valles M, Revert L. Familial IgA nephropathy: report of two cases and brief review of the literature. Arch Intern Med 1980; 140:1374-5. https://doi.org/10.1001/archinte.1980.00330210122037
  21. Schema FP, Cerullo G, Rossini M, Lanzilotta SG, D'Altri C, Manno C. Increased risk of end-stage renal disease in familial IgA nephropathy. J Am Soc Nephrol 2002;13; 453-60.
  22. Izzi C, Ravani P, Torres D, Prati E, Viola BF, Guerini S, et al. IgA nephropathy: the presence of familial disease does not confer an increased progression. Am J Kidney Dis 2006;47:761-9. https://doi.org/10.1053/j.ajkd.2006.01.010
  23. Earm JH, Kim KH, Han JS, Kim S, Lee JS, Lee HS, et al. IgA nephropathy in HLAidentical sisters. J Korean Soc Nephrology 1989:8;481-8.
  24. Schena FP, Cerullo G, Rossini M, Lanzilotta SG, D'Altri C, Manno C. Increased risk of end-stage renal disease in familial IgA nephropathy. J Am Soc Nephrol 2002;13: 453-60.