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Journal of the Korean Society of Pediatric Nephrology 1999;3(1): 95-99.
급속진행성 사구체 신염이 동반된 막성신증 1례
김백남, 육진원, 김지홍, 김병길, 정현주
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 병리학교실 및 신장질환 연구소
3연세대학교 의과대학 병리학교실 및 신장질환 연구소
4연세대학교 의과대학 소아과학교실
5연세대학교 의과대학 병리학교실 및 신장질환 연구소
A case of Crescentic Glomerulonephritis Superimposed on Membranous Glomerulonephropathy
Baek-Nam Kim, Jin-Won Yook, Ji-Hong Kim, Pyung-Kil Kim, Hyeun-Joo Jung
1Departments of Pediatrics, Yonsei University, College of Medicine
2Departments of Pathology and The Insititute of Kidney Kisease, Yensei University, College of Medicne
3Departments of Pathology and The Insititute of Kidney Kisease, Yensei University, College of Medicne
4Departments of Pediatrics, Yonsei University, College of Medicine
5Departments of Pathology and The Insititute of Kidney Kisease, Yensei University, College of Medicne
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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.
Key words: Membranous glomerulonephropathy | Crescentic glomerulonephritis | Methylprednisolone pulse therapy
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