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Case Report
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Korean J Med. 2014;87(5):609-614. Published online November 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.5.609
- 변연대 B세포 림프종에 동반된 초승달사구체신염 1예
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이용진2, 류현진2, 박지인2, 이정표1,2, 임춘수1,2, 문경철3, 오윤규1,2
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1서울대학교 보라매병원 내과
2서울대학교 의과대학 내과학교실
3서울대학교 의과대학 병리학교실
- A Case of Crescentic Glomerulonephritis and Marginal Zone B-cell Lymphoma
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YongJin Yi2, HyunJin Ryu2, Ji In Park2, Jung Pyo Lee1,2, Chun Soo Lim1,2, Kyung-Chul Moon3, Yun Kyu Oh1,2
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1Department of Internal Medicine, Seoul National University, Boramae Medical Center, Seoul, Korea
2Departments of Internal Medicine, Seoul National University, Boramae Medical Center, Seoul; Departments of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
3Departments of Pathology, Seoul National University College of Medicine, Seoul, Korea
- Corresponding author: Yun Kyu Oh ,Tel: +82-2-870-2219, Fax: +82-2-870-3863, Email: yoonkyu@snu.ac.kr
- Received: July 31, 2013; Revised: October 18, 2013 Accepted: November 25, 2013.
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߽ɾ :초승달사구체신염; 급속진행사구체신염; 변연대 B세포 림프종
- Abstract
- Secondary rapidly progressive glomerulonephritis (RPGN) can be caused by many diseases and conditions, including vasculitis, systemic rheumatic diseases, infections, drugs and malignancies. Among the secondary RPGNs, malignancy-associated RPGN is extremely rare and causes renal function deterioration within several weeks to months. Thus, timely immunosuppressant therapy can improve renal outcome. Herein, we describe a case of RPGN detected simultaneously with marginal zone B-cell lymphoma. An 82-year-old male patient, who presented generalized edema and oliguria, was diagnosed with crescentic glomerulonephritis and marginal B-cell lymphoma. After the patient was given methylprednisolone pulse therapy, renal function was restored and hemodialysis was successfully discontinued without complications.
Keywords :Crescentic glomerulonephritis, Rapidly progressive glomerulonephritis, Marginal zone B-cell lymphoma
