Nishida Masashi, Kato Ryuichi, Hamaoka Kenji
a Department of Pediatric Cardiology and Nephrology , Kyoto Prefectural University of Medicine, Graduate School of Medical Science , Kyoto , Japan.
Fetal Pediatr Pathol. 2015;34(6):351-4. doi: 10.3109/15513815.2015.1087607. Epub 2015 Sep 29.
We herein present a case of a 14-year-old boy with the histological features of coexisting membranous nephropathy (MN) and IgA nephropathy (IgAN). Asymptomatic hematuria/proteinuria was initially detected in school urinary screening, with treatments including oral corticosteroids leading to complete remission. Cases of coexisting MN and IgAN are very rare among the pediatric population; however, the overlap of these two nephropathies does not always imply a deleterious clinical outcome in pediatric cases.
我们在此报告一例14岁男孩,其具有膜性肾病(MN)和IgA肾病(IgAN)共存的组织学特征。无症状血尿/蛋白尿最初是在学校尿液筛查中发现的,治疗包括口服皮质类固醇,最终完全缓解。MN和IgAN共存的病例在儿科人群中非常罕见;然而,在儿科病例中,这两种肾病的重叠并不总是意味着有害的临床结果。