Treatment of membranous nephropathy with crescent nephritis by rituximab : A case report

Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc..

BACKGROUND: Crescent formation is rare in primary membranous nephropathy (MN). The mechanism of crescent formation is unknown and the treatments are tentative.

PATIENT CONCERNS: A 71-year-old woman presented with nephrotic syndrome, hematuria, and rapidly progressive kidney dysfunction.

DIAGNOSIS: Kidney biopsy was performed, and the diagnosis was MN in combination with crescentic glomerulonephritis. Circulating anti-PLA2R was detected of a high level.

INTERVENTIONS: The patient received rituximab besides corticosteroids.

OUTCOMES: The patient achieved complete remission of proteinuria and recovery of kidney function.

CONCLUSION: Our case suggests that there is a pathologic feature of MN and crescents in the absence of known immunologic factors as well as rituximab could serve as an effective cure and could be considered in serious MN conditions.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:101

Enthalten in:

Medicine - 101(2022), 37 vom: 16. Sept., Seite e30663

Sprache:

Englisch

Beteiligte Personen:

Zhang, Fan [VerfasserIn]
Yang, Yiya [VerfasserIn]
Chen, Yinyin [VerfasserIn]
Chen, Ying [VerfasserIn]
Yin, Wei [VerfasserIn]
Liang, Yumei [VerfasserIn]
Luo, Xun [VerfasserIn]

Links:

Volltext

Themen:

4F4X42SYQ6
Case Reports
Immunologic Factors
Journal Article
Rituximab

Anmerkungen:

Date Completed 22.09.2022

Date Revised 08.11.2022

published: Print

Citation Status MEDLINE

doi:

10.1097/MD.0000000000030663

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346404118