IgA nephropathy with wilson's disease: A case report and literature review

The most common glomerulonephritis seen in the world is immunoglobulin A nephropathy (IgAN). It can be primary or secondary associated with various conditions like Chronic Liver disease, Crohn's disease, neoplasms, etc. However, IgAN secondary to Wilson's disease is very rare. A 9 year old...

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Autores principales: Gaurav Bhandari, Vaibhav Tiwari, Anurag Gupta, Pallav Gupta, Vinant Bhargava, Manish Malik, Ashwani Gupta, Anil K Bhalla, Devinder S Rana
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Publicado: Wolters Kluwer Medknow Publications 2021
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spelling oai:doaj.org-article:74f70a6cf9a146479de418a857b56b0f2021-12-02T17:28:22ZIgA nephropathy with wilson's disease: A case report and literature review0971-40651998-366210.4103/ijn.IJN_227_20https://doaj.org/article/74f70a6cf9a146479de418a857b56b0f2021-01-01T00:00:00Zhttp://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2021;volume=31;issue=5;spage=474;epage=477;aulast=Bhandarihttps://doaj.org/toc/0971-4065https://doaj.org/toc/1998-3662The most common glomerulonephritis seen in the world is immunoglobulin A nephropathy (IgAN). It can be primary or secondary associated with various conditions like Chronic Liver disease, Crohn's disease, neoplasms, etc. However, IgAN secondary to Wilson's disease is very rare. A 9 year old boy presented with gross hematuria and proteinuria. He had a history of recurrent jaundice in the past. Ultrasonography (USG) whole abdomen showed altered echotexture of the liver with normal-sized kidneys. An extended workup for liver disease was done, and the diagnosis of Wilson's disease was confirmed with decreased serum ceruloplasmin levels, increased urinary copper, and the Kayser–Fleischer ring. Urine routine microscopy showed numerous red blood cells, few red blood cell casts, and mild proteinuria. Renal biopsy showed IgAN. The patient was started on D-penicillamine. On follow-up at 3 months, he showed complete resolution of proteinuria and hematuria. Thus, we suggest that Wilson's disease should be considered as one of the causes of secondary IgAN in pediatric patients with hematuria, proteinuria with liver dysfunction.Gaurav BhandariVaibhav TiwariAnurag GuptaPallav GuptaVinant BhargavaManish MalikAshwani GuptaAnil K BhallaDevinder S RanaWolters Kluwer Medknow Publicationsarticlehematuriaiga nephropathyjaundicekf ringwilson's diseaseDiseases of the genitourinary system. UrologyRC870-923ENIndian Journal of Nephrology, Vol 31, Iss 5, Pp 474-477 (2021)
institution DOAJ
collection DOAJ
language EN
topic hematuria
iga nephropathy
jaundice
kf ring
wilson's disease
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle hematuria
iga nephropathy
jaundice
kf ring
wilson's disease
Diseases of the genitourinary system. Urology
RC870-923
Gaurav Bhandari
Vaibhav Tiwari
Anurag Gupta
Pallav Gupta
Vinant Bhargava
Manish Malik
Ashwani Gupta
Anil K Bhalla
Devinder S Rana
IgA nephropathy with wilson's disease: A case report and literature review
description The most common glomerulonephritis seen in the world is immunoglobulin A nephropathy (IgAN). It can be primary or secondary associated with various conditions like Chronic Liver disease, Crohn's disease, neoplasms, etc. However, IgAN secondary to Wilson's disease is very rare. A 9 year old boy presented with gross hematuria and proteinuria. He had a history of recurrent jaundice in the past. Ultrasonography (USG) whole abdomen showed altered echotexture of the liver with normal-sized kidneys. An extended workup for liver disease was done, and the diagnosis of Wilson's disease was confirmed with decreased serum ceruloplasmin levels, increased urinary copper, and the Kayser–Fleischer ring. Urine routine microscopy showed numerous red blood cells, few red blood cell casts, and mild proteinuria. Renal biopsy showed IgAN. The patient was started on D-penicillamine. On follow-up at 3 months, he showed complete resolution of proteinuria and hematuria. Thus, we suggest that Wilson's disease should be considered as one of the causes of secondary IgAN in pediatric patients with hematuria, proteinuria with liver dysfunction.
format article
author Gaurav Bhandari
Vaibhav Tiwari
Anurag Gupta
Pallav Gupta
Vinant Bhargava
Manish Malik
Ashwani Gupta
Anil K Bhalla
Devinder S Rana
author_facet Gaurav Bhandari
Vaibhav Tiwari
Anurag Gupta
Pallav Gupta
Vinant Bhargava
Manish Malik
Ashwani Gupta
Anil K Bhalla
Devinder S Rana
author_sort Gaurav Bhandari
title IgA nephropathy with wilson's disease: A case report and literature review
title_short IgA nephropathy with wilson's disease: A case report and literature review
title_full IgA nephropathy with wilson's disease: A case report and literature review
title_fullStr IgA nephropathy with wilson's disease: A case report and literature review
title_full_unstemmed IgA nephropathy with wilson's disease: A case report and literature review
title_sort iga nephropathy with wilson's disease: a case report and literature review
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/74f70a6cf9a146479de418a857b56b0f
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