Open AccessKimura disease associated with IgA nephropathy
Author(s) -
Hu YingChun,
Wang Rong,
Lv XueAi
Publication year - 2014
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/j.kjms.2013.02.003
Subject(s) - medicine , eosinophilia , lymph node biopsy , renal biopsy , erythrocyte sedimentation rate , biopsy , gastroenterology , focal segmental glomerulosclerosis , nephrotic syndrome , lymph node , nephropathy , pathology , proteinuria , urology , endocrinology , kidney , diabetes mellitus
A 29-year-old male was hospitalized owing to edema of legs and face. He was suffering from acne for the past 3 months. Color Doppler flow imaging showed several hypoechoic nodules in the right side of the groin and in the abdominal cavity. His laboratory assessments were as follows: high creatinine (112 mmol/L), low serum albumin (19.6 g/L), high cholesterol (11.38 mmol/L), high erythrocyte sedimentation rate (85 mm/h), high white blood cell count (10.37 10/L), eosinophilia percentage (0.7%), and high proteinuria (4.55 g/ 1750 mL/day). Therefore, lymph node biopsy on the right groin area was carried out. Lymph node biopsy (Fig. 1A) indicated what is better in line with the change in eosinophilic lymphogranuloma. Renal biopsy examination (Fig. 1B) revealed immunoglobulin A (IgA) nephropathy-mild focal segmental mesangial proliferation. Two biopsy findings were correlated, and the final diagnosis was IgA nephropathy secondary to Kimura disease (KD). Methylprednisolone was