Brazilian Journal of Nephrology (Aug 2018)

Acute renal failure by rapidly progressive glomerulonephritis with IgA deposition in a patient concomitantly diagnosed with multibacillary Hansen's disease: a case report

  • Yuri de Deus Mont'alverne Parente,
  • Amanda Lopes de Castro,
  • Flávio Bezerra de Araújo,
  • André Costa Teixeira,
  • Ítalo Criszostomo Lima,
  • Elizabeth De Francesco Daher

DOI
https://doi.org/10.1590/2175-8239-jbn-2018-0056
Journal volume & issue
no. 0

Abstract

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ABSTRACT Rapidly progressive glomerulonephritis (RPGN) is a renal disease with an extensive differential diagnosis. This paper reports the case of a 55-year-old female patient diagnosed with Hansen's disease with acute progressive renal impairment after developing lower limb pyoderma. The association between Hansen's and kidney disease has been well documented, with glomerulonephritis (GN) ranked as the most common form of renal involvement. Post-infectious glomerulonephritis (PIGN) in adults has been associated with a number of pathogens occurring in diverse sites. The patient described in this case report had RPGN and biopsy findings suggestive of PIGN with C3 and IgA detected on immunofluorescence and kidney injury secondary to recent infection by Staphylococcus, a well-documented manifestation of renal impairment in patients with Hansen's disease.

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