Open AccessChoroidal Tuberculoma with Membranous Glomerulonephritis
Author(s) -
Byoung Geun Han,
Seung Ok Choi,
Seok Joon Lee,
Yoon Hee Kim,
Wook Pyo Hong,
Jong Hyuck Lee
Publication year - 2001
Publication title -
yonsei medical journal/yonsei medical journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.702
H-Index - 63
eISSN - 1976-2437
pISSN - 0513-5796
DOI - 10.3349/ymj.2001.42.4.446
Subject(s) - tuberculoma , medicine , nephrotic syndrome , glomerulonephritis , miliary tuberculosis , proteinuria , edema , biopsy , renal biopsy , lesion , regimen , tuberculosis , surgery , gastroenterology , pathology , kidney
We report treatment of a 24-year-old man with membranous glomerulonephritis (MGN) who developed a solitary choroidal tuberculoma in association with miliary tuberculosis during steroid therapy. In June 1995, the patient had developed nephrotic syndrome. He had refused renal biopsy at that time. So we treated him with corticosteroids having assumed a diagnosis of minimal change nephrotic syndrome. After initial corticosteroids and diuretics therapy for 5 months, his generalized edema resolved but proteinuria (3 positive) continued, suggesting the presence of other forms of glomerulonephritis. Renal biopsy performed in January 1996. The patient was diagnosed as having MGN. The patient was closely observed over a period of 34 months and remained stable without steroid therapy. However at 34 months, generalized edema was again noted and steroid therapy at high dosage was initiated. After 5 months of steroid therapy, he developed miliary tuberculosis and a solitary choroidal mass. An antituberculosis chemotherapeutic regimen was started and after a further 5 months, all clinical symptoms and signs of the pulmonary lesion were resolved and a measurable shrinking of the choroidal mass was recorded.