Lee Seunghye, Jung Sehyun, Jeon Hyejin, Jang Hani, Kim Hyun-Jung, Lee Tae Won, Bae Eunjin, Park Dong Jun, Chang Se-Ho
Department of Internal Medicine-Nephrology, College of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Department of Internal Medicine-Nephrology, Gyeongsang National University Hospital, Jinju, Republic of Korea.
Biomed Hub. 2024 Apr 18;9(1):62-66. doi: 10.1159/000538279. eCollection 2024 Jan-Dec.
Minimal change disease (MCD) is most often primary but may occur secondary to other systemic diseases such as malignancy. In secondary MCD, spontaneous remission of nephrotic syndrome after the treatment of related diseases without steroid therapy is rare.
A 78-year-old man visited the outpatient clinic with foamy urine and generalized edema that had persisted for 2 months. The patient had nephrotic syndrome. Before a kidney biopsy, he underwent several tests to determine the secondary cause of the nephrotic syndrome. The serum CEA was slightly elevated, and colon cancer was detected in the sigmoid colon. MCD was diagnosed from a kidney biopsy. He immediately underwent surgery for colon cancer. Complete remission of the MCD was achieved within 2 weeks after surgery.
Here, we report a rare case of a patient with secondary MCD who successfully achieved spontaneous remission after colon cancer surgery.
微小病变性肾病(MCD)大多为原发性,但也可能继发于其他全身性疾病,如恶性肿瘤。在继发性MCD中,相关疾病经治疗后未经类固醇治疗肾病综合征即自发缓解的情况很少见。
一名78岁男性因泡沫尿和全身水肿持续2个月就诊于门诊。该患者患有肾病综合征。在进行肾活检之前,他接受了多项检查以确定肾病综合征的继发原因。血清癌胚抗原(CEA)略有升高,在乙状结肠发现了结肠癌。肾活检诊断为MCD。他立即接受了结肠癌手术。术后2周内MCD完全缓解。
在此,我们报告一例罕见的继发性MCD患者,其在结肠癌手术后成功实现自发缓解。