What’s hiding behind IgA nephropathy?

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چکیده

Clinical history: A-31 year-old woman was admitted to the hospital for proteinuria, fatigue, edema of the hands, tinnitus and sudden hearing loss of the left ear. Physical and laboratory examination revealed arterial hypertension, nephrotic proteinuria (5g/day) and microscopic hematuria. Kidney function was normal with a serum creatinine level of 73μmol/l (0,79mg/dl). Immunology was negative (ELISA testing – IgA, IgM, IgG, C3 and C4 complement, extractable nuclear antigen (ENA), antinuclear antibodies (ANA), ds-DNA antibodies, ANCA, rheuma factor). Audiometry showed hearing abnormalities. In her family history, a father, uncle and sister suffer from IgA nephropathy (IgAN). She had no history of taking chronic medication or drug abuse. A kidney biopsy was performed with a clinical diagnosis of IgAN or Alport syndrome.

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تاریخ انتشار 2012