Rapid and Complete Remission of Class IV Lupus Nephritis with Massive Wire Loop Lesions

Class IV lupus nephritis (LN) often has a poorer prognosis than other classes. However, class IV LN has various phenotypes, including not only segmental and global types but also others. We present the case of a 29-year-old woman with class IV-G LN who had an early response to glucocorticoid monothe...
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Autor*in:	Tomo Suzuki [verfasserIn] Ryutaro Matsumura [verfasserIn] Hiroshi Kitamura [verfasserIn] Yugo Shibagaki [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Lupus nephritis Wire loop lesions Class IV-G

Übergeordnetes Werk:	In: Case Reports in Nephrology and Dialysis - Karger Publishers, 2016, 8(2018), 1, Seite 56-61
Übergeordnetes Werk:	volume:8 ; year:2018 ; number:1 ; pages:56-61

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1159/000487920

Katalog-ID:	DOAJ032041756

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520			\|a Class IV lupus nephritis (LN) often has a poorer prognosis than other classes. However, class IV LN has various phenotypes, including not only segmental and global types but also others. We present the case of a 29-year-old woman with class IV-G LN who had an early response to glucocorticoid monotherapy. In addition, multiple lung nodules such as miliary tuberculosis (TB) were detected on computed tomography. All cultures of sputum, gastric fluid, and bone marrow were negative. A kidney biopsy revealed diffuse endocapillary proliferative glomerulonephritis with marked subendothelial deposition. Electron microscopy revealed massive electron-dense deposits in the subendothelial area, mesangium area, and peritubular capillaries. The histological diagnosis was class IV-G (A) LN. We administered high-dose glucocorticoid monotherapy. After treatment, the LN and the lung lesions had complete, rapid remission for 1 month. The lung lesions were associated with an immune complex similar to wire loop lesions, not TB. Thus, it is important to consider class IV-G LN with massive wire loop lesions as a new subtype.
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spelling	10.1159/000487920 doi (DE-627)DOAJ032041756 (DE-599)DOAJa5c21a14131149549dca2692b4903b15 DE-627 ger DE-627 rakwb eng RC870-923 Tomo Suzuki verfasserin aut Rapid and Complete Remission of Class IV Lupus Nephritis with Massive Wire Loop Lesions 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Class IV lupus nephritis (LN) often has a poorer prognosis than other classes. However, class IV LN has various phenotypes, including not only segmental and global types but also others. We present the case of a 29-year-old woman with class IV-G LN who had an early response to glucocorticoid monotherapy. In addition, multiple lung nodules such as miliary tuberculosis (TB) were detected on computed tomography. All cultures of sputum, gastric fluid, and bone marrow were negative. A kidney biopsy revealed diffuse endocapillary proliferative glomerulonephritis with marked subendothelial deposition. Electron microscopy revealed massive electron-dense deposits in the subendothelial area, mesangium area, and peritubular capillaries. The histological diagnosis was class IV-G (A) LN. We administered high-dose glucocorticoid monotherapy. After treatment, the LN and the lung lesions had complete, rapid remission for 1 month. The lung lesions were associated with an immune complex similar to wire loop lesions, not TB. Thus, it is important to consider class IV-G LN with massive wire loop lesions as a new subtype. Lupus nephritis Wire loop lesions Class IV-G Diseases of the genitourinary system. Urology Ryutaro Matsumura verfasserin aut Hiroshi Kitamura verfasserin aut Yugo Shibagaki verfasserin aut In Case Reports in Nephrology and Dialysis Karger Publishers, 2016 8(2018), 1, Seite 56-61 (DE-627)818042141 (DE-600)2809879-1 22969705 nnns volume:8 year:2018 number:1 pages:56-61 https://doi.org/10.1159/000487920 kostenfrei https://doaj.org/article/a5c21a14131149549dca2692b4903b15 kostenfrei https://www.karger.com/Article/FullText/487920 kostenfrei https://doaj.org/toc/2296-9705 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2018 1 56-61
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allfieldsSound	10.1159/000487920 doi (DE-627)DOAJ032041756 (DE-599)DOAJa5c21a14131149549dca2692b4903b15 DE-627 ger DE-627 rakwb eng RC870-923 Tomo Suzuki verfasserin aut Rapid and Complete Remission of Class IV Lupus Nephritis with Massive Wire Loop Lesions 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Class IV lupus nephritis (LN) often has a poorer prognosis than other classes. However, class IV LN has various phenotypes, including not only segmental and global types but also others. We present the case of a 29-year-old woman with class IV-G LN who had an early response to glucocorticoid monotherapy. In addition, multiple lung nodules such as miliary tuberculosis (TB) were detected on computed tomography. All cultures of sputum, gastric fluid, and bone marrow were negative. A kidney biopsy revealed diffuse endocapillary proliferative glomerulonephritis with marked subendothelial deposition. Electron microscopy revealed massive electron-dense deposits in the subendothelial area, mesangium area, and peritubular capillaries. The histological diagnosis was class IV-G (A) LN. We administered high-dose glucocorticoid monotherapy. After treatment, the LN and the lung lesions had complete, rapid remission for 1 month. The lung lesions were associated with an immune complex similar to wire loop lesions, not TB. Thus, it is important to consider class IV-G LN with massive wire loop lesions as a new subtype. Lupus nephritis Wire loop lesions Class IV-G Diseases of the genitourinary system. Urology Ryutaro Matsumura verfasserin aut Hiroshi Kitamura verfasserin aut Yugo Shibagaki verfasserin aut In Case Reports in Nephrology and Dialysis Karger Publishers, 2016 8(2018), 1, Seite 56-61 (DE-627)818042141 (DE-600)2809879-1 22969705 nnns volume:8 year:2018 number:1 pages:56-61 https://doi.org/10.1159/000487920 kostenfrei https://doaj.org/article/a5c21a14131149549dca2692b4903b15 kostenfrei https://www.karger.com/Article/FullText/487920 kostenfrei https://doaj.org/toc/2296-9705 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2018 1 56-61
language	English
source	In Case Reports in Nephrology and Dialysis 8(2018), 1, Seite 56-61 volume:8 year:2018 number:1 pages:56-61
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institution	findex.gbv.de
topic_facet	Lupus nephritis Wire loop lesions Class IV-G Diseases of the genitourinary system. Urology
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container_title	Case Reports in Nephrology and Dialysis
authorswithroles_txt_mv	Tomo Suzuki @@aut@@ Ryutaro Matsumura @@aut@@ Hiroshi Kitamura @@aut@@ Yugo Shibagaki @@aut@@
publishDateDaySort_date	2018-01-01T00:00:00Z
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callnumber-first	R - Medicine
author	Tomo Suzuki
spellingShingle	Tomo Suzuki misc RC870-923 misc Lupus nephritis misc Wire loop lesions misc Class IV-G misc Diseases of the genitourinary system. Urology Rapid and Complete Remission of Class IV Lupus Nephritis with Massive Wire Loop Lesions
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topic_title	RC870-923 Rapid and Complete Remission of Class IV Lupus Nephritis with Massive Wire Loop Lesions Lupus nephritis Wire loop lesions Class IV-G
topic	misc RC870-923 misc Lupus nephritis misc Wire loop lesions misc Class IV-G misc Diseases of the genitourinary system. Urology
topic_unstemmed	misc RC870-923 misc Lupus nephritis misc Wire loop lesions misc Class IV-G misc Diseases of the genitourinary system. Urology
topic_browse	misc RC870-923 misc Lupus nephritis misc Wire loop lesions misc Class IV-G misc Diseases of the genitourinary system. Urology
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title	Rapid and Complete Remission of Class IV Lupus Nephritis with Massive Wire Loop Lesions
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title_full	Rapid and Complete Remission of Class IV Lupus Nephritis with Massive Wire Loop Lesions
author_sort	Tomo Suzuki
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author_browse	Tomo Suzuki Ryutaro Matsumura Hiroshi Kitamura Yugo Shibagaki
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title_sort	rapid and complete remission of class iv lupus nephritis with massive wire loop lesions
callnumber	RC870-923
title_auth	Rapid and Complete Remission of Class IV Lupus Nephritis with Massive Wire Loop Lesions
abstract	Class IV lupus nephritis (LN) often has a poorer prognosis than other classes. However, class IV LN has various phenotypes, including not only segmental and global types but also others. We present the case of a 29-year-old woman with class IV-G LN who had an early response to glucocorticoid monotherapy. In addition, multiple lung nodules such as miliary tuberculosis (TB) were detected on computed tomography. All cultures of sputum, gastric fluid, and bone marrow were negative. A kidney biopsy revealed diffuse endocapillary proliferative glomerulonephritis with marked subendothelial deposition. Electron microscopy revealed massive electron-dense deposits in the subendothelial area, mesangium area, and peritubular capillaries. The histological diagnosis was class IV-G (A) LN. We administered high-dose glucocorticoid monotherapy. After treatment, the LN and the lung lesions had complete, rapid remission for 1 month. The lung lesions were associated with an immune complex similar to wire loop lesions, not TB. Thus, it is important to consider class IV-G LN with massive wire loop lesions as a new subtype.
abstractGer	Class IV lupus nephritis (LN) often has a poorer prognosis than other classes. However, class IV LN has various phenotypes, including not only segmental and global types but also others. We present the case of a 29-year-old woman with class IV-G LN who had an early response to glucocorticoid monotherapy. In addition, multiple lung nodules such as miliary tuberculosis (TB) were detected on computed tomography. All cultures of sputum, gastric fluid, and bone marrow were negative. A kidney biopsy revealed diffuse endocapillary proliferative glomerulonephritis with marked subendothelial deposition. Electron microscopy revealed massive electron-dense deposits in the subendothelial area, mesangium area, and peritubular capillaries. The histological diagnosis was class IV-G (A) LN. We administered high-dose glucocorticoid monotherapy. After treatment, the LN and the lung lesions had complete, rapid remission for 1 month. The lung lesions were associated with an immune complex similar to wire loop lesions, not TB. Thus, it is important to consider class IV-G LN with massive wire loop lesions as a new subtype.
abstract_unstemmed	Class IV lupus nephritis (LN) often has a poorer prognosis than other classes. However, class IV LN has various phenotypes, including not only segmental and global types but also others. We present the case of a 29-year-old woman with class IV-G LN who had an early response to glucocorticoid monotherapy. In addition, multiple lung nodules such as miliary tuberculosis (TB) were detected on computed tomography. All cultures of sputum, gastric fluid, and bone marrow were negative. A kidney biopsy revealed diffuse endocapillary proliferative glomerulonephritis with marked subendothelial deposition. Electron microscopy revealed massive electron-dense deposits in the subendothelial area, mesangium area, and peritubular capillaries. The histological diagnosis was class IV-G (A) LN. We administered high-dose glucocorticoid monotherapy. After treatment, the LN and the lung lesions had complete, rapid remission for 1 month. The lung lesions were associated with an immune complex similar to wire loop lesions, not TB. Thus, it is important to consider class IV-G LN with massive wire loop lesions as a new subtype.
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title_short	Rapid and Complete Remission of Class IV Lupus Nephritis with Massive Wire Loop Lesions
url	https://doi.org/10.1159/000487920 https://doaj.org/article/a5c21a14131149549dca2692b4903b15 https://www.karger.com/Article/FullText/487920 https://doaj.org/toc/2296-9705
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author2	Ryutaro Matsumura Hiroshi Kitamura Yugo Shibagaki
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