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항사구체기저막 항체 및 MPO-ANCA 양성인 초승달 사구체신염
조종태 ( Jong Tae Cho ),고재향 ( Jai Hyang Go ),정경연 ( Kyong Yeun Jung ) 대한내과학회 2012 대한내과학회지 Vol.83 No.5
Rapidly progressive glomerulonephritis (RPGN) is a clinical syndrome involving abrupt or insidious onset of hematuria, proteinuria, and anemia, and rapidly progressive renal failure. Crescentic glomerulonephritis is a histopathological term for RPGN showing extensive extracapillary proliferation, i.e., crescent formation. There are three major immunopathological categories of crescentic glomerulonephritis: anti-glomerular basement membrane (anti-GBM) antibody disease, immune complex-mediated, and pauci-immune (anti-neutrophil cytoplasmic autoantibody [ANCA]-positive). A small minority of all patients with glomerulonephritis develop crescentic glomerulonephritis. Anti-GBM antibodies and ANCA rarely coexist. There have been a few reports of dual positive crescentic glomerulonephritis with anti-GBM antibodies and ANCA in Korea. Here, we describe the case of a 73-year-old woman showing RPGN clinically and crescentic glomerulonephritis pathologically with coexisting anti-GBM antibodies and myeloperoxidase-ANCA. (Korean J Med 2012;83:654-658)
김명호,정홍근,유제욱,고재향,Kim, Myung-Ho,Jung, Hong-Geun,Yu, Je-Wook,Go, Jai-Hyang 대한족부족관절학회 2006 대한족부족관절학회지 Vol.10 No.1
Gout in the sesamoid of the great toe is very rare, such that to our best knowledge, there have been only four reports internationally. We present a case of hallucal medial sesamoid gout in the respect of the literature review, clinical, pathological features and surgical outcome.
막증식성 사구체 신염을 동반한 면역글로불린 G4 연관 신장 질환 1예
조종태 ( Jong Tae Cho ),이은경 ( Eun-kyoung Lee ),고재향 ( Jai Hyang Go ),이용문 ( Yong-moon Lee ),이화영 ( Hwa Young Lee ),김소미 ( So Mi Kim ) 대한내과학회 2021 대한내과학회지 Vol.96 No.1
본 증례에서는 신기능 저하, 신우의 종괴로 내원하여 혈청학적 검사, 영상의학적 검사를 바탕으로 신장 조직 검사를 통해 간질성 신염 및 막증식성 사구체 신염을 동시에 보인 IgG4 연관 신장 질환을 진단하고, 스테로이드로 치료한 1예를 경험하여 문헌고찰과 함께 보고하는 바이다. Immunoglobulin G4 (IgG4)-related kidney disease is a chronic immune-mediated fibro-inflammatory disorder characterized by multiple organ infiltration with IgG4-positive plasma cells, storiform fibrosis, and obliterative phlebitis or tumefactive lesions. Previous studies have explored IgG4-related kidney disease, increasing our understanding of its clinical manifestations, and pathological and radiologic findings. However, IgG4-related kidney disease can be misdiagnosed since it mimics malignancies. We report a case of a 77-year-old Korean man diagnosed with IgG4-related kidney disease with membranous proliferative glomerulonephritis, presenting with a renal pelvic mass suspected of being malignant. (Korean J Med 2021;96:48-52)