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A Case of Crescentic Glomerulonephritis and Marginal Zone B-cell Lymphoma
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ÀÌ¿ëÁø(Yi Yong-Jin) - ¼¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
·ùÇöÁø(Ryu Hyun-Jin) - ¼¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¹ÚÁöÀÎ(Park Ji-In) - ¼¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÀÌÁ¤Ç¥(Lee Jung-Pyo) - ¼¿ï´ëÇб³ º¸¶ó¸Åº´¿ø ³»°ú
ÀÓÃá¼ö(Lim Chun-Soo) - ¼¿ï´ëÇб³ º¸¶ó¸Åº´¿ø ³»°ú
¹®°æö(Moon Kyung-Chul) - ¼¿ï´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
¿ÀÀ±±Ô(Oh Yun-Kyu) - ¼¿ï´ëÇб³ º¸¶ó¸Åº´¿ø ³»°ú
Abstract
ÀúÀÚµéÀº ±Þ¼º ½Å±â´É ÀúÇÏ·Î ³»¿øÇÏ¿© º¯¿¬´ë B¼¼Æ÷ ¸²ÇÁÁ¾¿¡ µ¿¹ÝµÈ ±Þ¼ÓÁøÇà»ç±¸Ã¼½Å¿°ÀÌ Áø´ÜµÇ°í ½ºÅ×·ÎÀ̵å Ãæ°ÝÄ¡·á·Î ½ÅÀå ±â´ÉÀÌ È£ÀüµÈ 1¿¹¸¦ °æÇèÇÏ¿© ¹®Çå°íÂû°ú ÇÔ²² º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
Secondary rapidly progressive glomerulonephritis (RPGN) can be caused by many diseases and conditions, including vasculitis, systemic rheumatic diseases, infections, drugs and malignancies. Among the secondary RPGNs, malignancy-associated RPGN is extremely rare and causes renal function deterioration within several weeks to months. Thus, timely immunosuppressant therapy can improve renal outcome. Herein, we describe a case of RPGN detected simultaneously with marginal zone B-cell lymphoma. An 82-year-old male patient, who presented generalized edema and oliguria, was diagnosed with crescentic glomerulonephritis and marginal B-cell lymphoma. After the patient was given methylprednisolone pulse therapy, renal function was restored and hemodialysis was successfully discontinued without complications.
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Crescentic glomerulonephritis, Rapidly progressive glomerulonephritis, Marginal zone B-cell lymphoma
KMID :
0882420140870050609
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