,"/> A Case of Henoch-Schönlein Nephritis Mimicking Acute Poststreptococcal Glomerulonephritis in Histology

J Korean Soc Pediatr Nephrol > Volume 7(1); 2003 > Article
J Korean Soc Pediatr Nephrol 2003;7(1): 73-76.
급성 사구체신염의 조직소견을 보인 Henoch-Schönlein 자반증 신염 1례
정효석, 이현경, 김용진, 박용훈
1영남대학교 의과대학 소아과학교실
2영남대학교 의과대학 소아과학교실
3영남대학교 의과대학 병리학교실
4영남대학교 의과대학 소아과학교실
A Case of Henoch-Schönlein Nephritis Mimicking Acute Poststreptococcal Glomerulonephritis in Histology
Hyo-Seok Chung, Hyun-Kyung Lee, Yong-Jin Kim, Yong-Hoon Park
1Departments of Pediatrics, Yeungnam University, College of Medicine
2Departments of Pediatrics, Yeungnam University, College of Medicine
3Departments of Pathology, Yeungnam University, College of Medicine
4Departments of Pediatrics, Yeungnam University, College of Medicine
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ABSTRACT
A girl aged 21 months with $Henoch-Sch""{o}nlein$ purpura(HSP) developed heavy proteinuria with hematuria 8 days after the appearance of purpuric rash, swelling and tenderness of both ankle joints. Her clinical and laboratory features demonstrated nephrotic and nephritic syndrome. The percutaneous renal biopsy revealed diffuse mesangial proliferative glomerulonephritis. Unlike usual HSP nephritis, immunoglobulin A deposition was not detected in the mesangium or the capillary of the glomeruli. Instead, numerous subepithelial electron-dense deposits('humps') mimicking acute poststreptococcal glomerulonephritis were found.
Key words: $Henoch-Sch\""{o}nlein\ | nephritis$

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