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Severely Active Class 4 Lupus Nephritis: the Prognostic Significance to Clinical Outcome
정혜원 ( Hae Won Jung ),오하영 ( Ha Young Oh ),김대중 ( Dae Joong Kim ),김윤구 ( Yoon Goo Kim ),이정은 ( Jung Eun Lee ),고은미 ( Eun Mi Koh ),차훈석 ( Hoon Suk Cha ),서진원 ( Jin Won Seo ),권기영 ( Gee Young Kwon ),허우성 ( Woo Se 대한신장학회 2008 춘계학술대회 초록집 Vol.28 No.1
무증상 원발성 막성 신병증에 병발한 반월상 사구체 신염 1례
조아진 ( A Jin Cho ),이진희 ( Jin Hee Lee ),정병호 ( Byeong Ho Jeong ),정승민 ( Seung Min Chung ),이정은 ( Jung Eun Lee ),권기영 ( Gee Young Kwon ),허우성 ( Woo Seong Huh ),김윤구 ( Yoon Goo Kim ),김대중 ( Dae Joong Kim ),오하영 ( 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.2
Membranous glomerulopathy (MGN) is a common cause of nephrotic syndrome in adults. Renal failure gradually develops in patients with MGN and crescentic glomerulonephritis (CGN) superimposed on MGN is a rare cause of acute renal failure. In most cases patients showed nephrotic syndrome with acute renal failure. We report a 33-year-old woman with azotemia but with no other symptoms such as nephrotic syndrome she had been diagnosed to have MGN 15 months before. There seemed to be no other cause of azotemia. Renal biopsy was performed and revealed CGN on existing MGN. She was treated with immunosuppression treatment and azotemia was improved. When unexplained azotemia develops in patients with MGN, we should promptly investigate superimposed conditions including CGN. In CGN superimposed on MN, a potentially reversible condition with appropriate immunosuppression therapy should be considered.
제 2형 당뇨병 환자에서 발생한 미세변화 신증후군 3례
전준석 ( Jun Seok Jeon ),이정은 ( Jung Eun Lee ),이진희 ( Jin Hee Lee ),정병호 ( Byeong Ho Jeong ),조아진 ( A Jin Cho ),권기영 ( Gee Young Kwon ),허우성 ( Woo Seong Huh ),김윤구 ( Yoon Goo Kim ),김대중 ( Dae Joong Kim ),오하영 ( H 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.1
Diabetic nephropathy is a common and serious complication of diabetes characterized by persistent proteinuria, hypertension and a progressive decline of renal function. However, non-diabetic renal disease can be present in diabetic patients and differential diagnosis of treatable disease is important. Minimal change nephrotic syndrome is characterized by normal light microscopic finding and effacement of foot process in electron microscope, but foot process effacement is not specific and it can be present in the glomeruli of the most glomerulopathy including diabetic nephropathy. Therefore, pathologic diagnosis of minimal change nephrotic syndrome combined with diabetic nephropathy is very difficult. However, we could exclude other glomerulopathy and diagnose minimal change nephrotic syndrome by clinical features in three type 2 diabetic patients with diabetic nephropathy and have successfully treated with corticosteroid.