The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Crescentic Glomerulonephritis and Marginal Zone B-cell Lymphoma

변연대 B세포 림프종에 동반된 초승달사구체신염 1예

  • Yi, YongJin (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Ryu, HyunJin (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Park, Ji In (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Lee, Jung Pyo (Department of Internal Medicine, Seoul National University, Boramae Medical Center) ;
  • Lim, Chun Soo (Department of Internal Medicine, Seoul National University, Boramae Medical Center) ;
  • Moon, Kyung-Chul (Department of Pathology, Seoul National University College of Medicine) ;
  • Oh, Yun Kyu (Department of Internal Medicine, Seoul National University, Boramae Medical Center)
  • 이용진 (서울대학교 의과대학 내과학교실) ;
  • 류현진 (서울대학교 의과대학 내과학교실) ;
  • 박지인 (서울대학교 의과대학 내과학교실) ;
  • 이정표 (서울대학교 보라매병원 내과) ;
  • 임춘수 (서울대학교 보라매병원 내과) ;
  • 문경철 (서울대학교 의과대학 병리학교실) ;
  • 오윤규 (서울대학교 보라매병원 내과)
  • Received : 2013.07.31
  • Accepted : 2013.11.25
  • Published : 2014.11.01
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Abstract

Secondary rapidly progressive glomerulonephritis (RPGN) can be caused by many diseases and conditions, including vasculitis, systemic rheumatic diseases, infections, drugs and malignancies. Among the secondary RPGNs, malignancy-associated RPGN is extremely rare and causes renal function deterioration within several weeks to months. Thus, timely immunosuppressant therapy can improve renal outcome. Herein, we describe a case of RPGN detected simultaneously with marginal zone B-cell lymphoma. An 82-year-old male patient, who presented generalized edema and oliguria, was diagnosed with crescentic glomerulonephritis and marginal B-cell lymphoma. After the patient was given methylprednisolone pulse therapy, renal function was restored and hemodialysis was successfully discontinued without complications.

저자들은 급성 신기능 저하로 내원하여 변연대 B세포 림프종에 동반된 급속진행사구체신염이 진단되고 스테로이드 충격치료로 신장 기능이 호전된 1예를 경험하여 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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