A case of Crescentic Glomerulonephritis Superimposed on Membranous Glomerulonephropathy

급속진행성 사구체 신염이 동반된 막성신증 1례

  • Kim, Baek-Nam (Departments of Pediatrics, Yonsei University, College of Medicine) ;
  • Yook, Jin-Won (Departments of Pathology and The Insititute of Kidney Kisease, Yensei University, College of Medicne) ;
  • Kim, Ji-Hong (Departments of Pathology and The Insititute of Kidney Kisease, Yensei University, College of Medicne) ;
  • Kim, Pyung-Kil (Departments of Pediatrics, Yonsei University, College of Medicine) ;
  • Jung, Hyeun-Joo (Departments of Pathology and The Insititute of Kidney Kisease, Yensei University, College of Medicne)
  • 김백남 (연세대학교 의과대학 소아과학교실) ;
  • 육진원 (연세대학교 의과대학 병리학교실 및 신장질환 연구소) ;
  • 김지홍 (연세대학교 의과대학 병리학교실 및 신장질환 연구소) ;
  • 김병길 (연세대학교 의과대학 소아과학교실) ;
  • 정현주 (연세대학교 의과대학 병리학교실 및 신장질환 연구소)
  • Published : 1999.05.01

Abstract

Idiopathic membranous nephropathy is one of the most common causes of nephrotic syndromes in adults but rare in childhood. The occurrence of crescentic glomerulonephritis and membranous nephropathy in a patient is rare. This report describes a patient who initially was diagnosed as a membranous glomerulonephropathy at age 12 years and subsequently developed a crescentic, rapidly progressive glomerulonephritis at age 19 years. The patient responded to methylprednisolone pulse therapy and he maintained with partial remission and normal renal function with residual proteinuria.

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