HENOCH-SCHONLEIN VASCULITIS AS A MANIFESTATION OF IGA-ASSOCIATED DISEASE IN CIRRHOSIS

被引:15
作者
AGGARWAL, M
MANSKE, CL
LYNCH, PJ
PALLER, MS
机构
[1] UNIV MINNESOTA,DEPT MED,BOX 736 UMHC,MINNEAPOLIS,MN 55455
[2] UNIV MINNESOTA,DEPT DERMATOL,MINNEAPOLIS,MN 55455
关键词
IGA NEPHROPATHY; HENOCH-SCHONLEIN VASCULITIS; CIRRHOSIS; GLOMERULONEPHRITIS; LEUKOCYTOCLASTIC VASCULITIS;
D O I
10.1016/S0272-6386(12)70306-2
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Cirrhosis has been associated with a variety of glomerular lesions that generally include deposits of IgA in the mesangium. However, loss of renal function secondary to IgA deposition in cirrhotics is infrequent. An unusual patient who developed rapidly progressive glomerulonephritis followed by leukocytoclastic vasculitis with IgA deposition on skin biopsy is presented. We postulate that this is an example of Henoch-SchOnlein purpura occurring secondary to altered IgA processing in cirrhosis. © 1992, National Kidney Foundation, Inc.. All rights reserved.
引用
收藏
页码:400 / 402
页数:3
相关论文
共 7 条
[1]
MONTOLIU J, 1985, P EUR DIAL TRANS, V21, P677
[2]
MUTIMER DJ, 1990, Q J MED, V75, P509
[3]
HEPATIC GLOMERULONEPHRITIS - CHARACTERISTICS OF HEPATIC IGA GLOMERULONEPHRITIS AS THE MAJOR PART [J].
NAKAMOTO, Y ;
IIDA, H ;
KOBAYASHI, K ;
DOHI, K ;
KIDA, H ;
HATTORI, N ;
TAKEUCHI, J .
VIRCHOWS ARCHIV A-PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY, 1981, 392 (01) :45-54
[4]
CIRRHOTIC GLOMERULONEPHRITIS - INCIDENCE, MORPHOLOGY, CLINICAL-FEATURES, AND PATHOGENESIS [J].
NEWELL, GC .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1987, 9 (03) :183-190
[5]
SELECTIVE ELEVATION OF MONOMERIC IGA1 IN IGA NEPHROPATHY PATIENTS WITH NORMAL RENAL-FUNCTION [J].
PETERMAN, JH ;
JULIAN, BA ;
KIRK, KA ;
JACKSON, S .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1991, 18 (03) :313-319
[6]
CUTANEOUS VASCULITIS ASSOCIATED WITH ACUTE AND CHRONIC HEPATITIS [J].
POPP, JW ;
HARRIST, TJ ;
DIENSTAG, JL ;
BHAN, AK ;
WANDS, JR ;
LAMONT, JT ;
MIHM, MC .
ARCHIVES OF INTERNAL MEDICINE, 1981, 141 (05) :623-629
[7]
VANDEWIEL A, 1988, DIGEST DIS SCI, V33, P678