2017, Number 08
Quickly progressive glomerulonephritis associated with lupus nephritis in a middle age patient
Language: Spanish
References: 10
Page: 1046-1051
PDF size: 291.44 Kb.
ABSTRACT
The case report of a 47 years patient is described with a history of lymphoproliferative syndrome who was admitted at the Hematology room of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba, and then she was transferred to the Nephrology Service due to a polyarticular pain, fever, edemas, decrease of diuresis and progressive increase of the plasmatic creatinine. The clinical pattern and the lab tests allowed to diagnose a quickly progressive glomerulonephritis as consequence of a lupus nephritis class IV. The patient was treated with prednisone and cyclophosphamide, and she showed a satisfactory clinical course without the necessity of using hemodyalisis treatment.REFERENCES
Ruiz Irastorza G, Espinosa G, Frutos MA, Jiménez Alonso J, Praga M, Pallarés L, et al. Diagnóstico y tratamiento de la nefritis lúpica. Documento de consenso del Grupo de Enfermedades Autoinmunes Sistémicas (GEAS) de la Sociedad Española de Medicina Interna (SEMI) y de la Sociedad Española de Nefrología (S.E.N.). Nefrología (Madr.). 2012 [citado 17 Sep 2016]; 32(Suppl. 1).
Yee C, Gordon C, Dostal C, Petera P, Dadoniene J, Griffiths B, et al. EULAR randomised controlled trial of pulse cyclophosphamide and methylprednisolone versus continous cyclophosphamide and prednisolone followed by azathioprine and prednisolone in lupus nephritis. Ann Rheum Dis. 2004; 63(5): 525-9.