A Rare Presentation of IgA Nephropathy in a 62-Year-Old Hispanic Female

A case of immunoglobulin A (IgA) nephropathy is presented here that demonstrates an unusual clinical presentation in multiple ways and is vitally important for clinicians to consider. The patient is a Hispanic female in her 7th decade of life that presented with nephrotic-range proteinuria without h...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2023-05, Vol.15 (5), p.e38783
Hauptverfasser: Kurkowski, Sarah C, Thimmesch, Michael J, Elkhider, Osama, Abdelgadir, Yasir
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container_title Curēus (Palo Alto, CA)
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creator Kurkowski, Sarah C
Thimmesch, Michael J
Elkhider, Osama
Abdelgadir, Yasir
description A case of immunoglobulin A (IgA) nephropathy is presented here that demonstrates an unusual clinical presentation in multiple ways and is vitally important for clinicians to consider. The patient is a Hispanic female in her 7th decade of life that presented with nephrotic-range proteinuria without hematuria ultimately leading to a diagnosis of IgA nephropathy. After diagnosis, her clinical course was complicated by continued poorly controlled type II diabetes mellitus and hypertension, and ultimately her kidney disease progressed to chronic kidney disease IV and then end-stage renal disease requiring hemodialysis. Though IgA nephropathy predominantly presents as nephritic syndrome, it can also present as nephrotic range proteinuria and even rapidly progressive glomerulonephritis which should be considered even when the patient's ethnicity and age group carry a smaller risk.
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subjects Antigens
Biopsy
Blood pressure
Case reports
Catheters
Creatinine
Diabetes
Edema
Emergency medical care
Endocrinology/Diabetes/Metabolism
Ethnicity
Females
Heart failure
Hematuria
Hypertension
Immune system
Immunoglobulins
Infections
Kidney diseases
Laboratories
Nephrology
Nitrogen
Patients
Proteins
Sodium
Urinalysis
Urine
title A Rare Presentation of IgA Nephropathy in a 62-Year-Old Hispanic Female
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