ダウンロード数 : ?
ファイル
言語
英語
属性
Case report
著者
Yamane, Yuko
西木 正照
Kato, Yuzuru
内容記述(抄録等)
We report a 76-year-old man with type 2 diabetes mellitus (DM) complicated with diabetic nephropathy and lupus nephritis. The patient had a 7-year history of DM without renal dysfunction. He was referred to our hospital for severe arthralgia and right chest pain. Laboratory examination indicated urinary granular casts, but not proteinuria. Systemic lupus erythematosus (SLE) was suspected based on symptoms and further laboratory findings such as serum autoantibodies including anti-DNA antibody, antinuclear antibody and perinuclear anti-neutrophil cytoplasmic antibody. Finally, renal biopsy revealed mesangial sclerosis, subendothelial deposit of electron dense material and necrotic vasculitis, which were interpreted as diabetic nephropathy and lupus nephritis, respectively. Treatment with oral prednisolone ameliorated serological abnormalities as well as clinical symptoms. These findings indicate that renal biopsy is indispensable for a definite diagnosis of nephropathy in diabetic patients without proteinuria but with active urine sediments.
掲載誌名
Shimane journal of medical science
19
2
開始ページ
33
終了ページ
36
ISSN
03865959
ISSN(Online)
24332410
発行日
2001-12-01
NCID
AA00841586
出版者別表記
Shimane Medical University
資料タイプ
紀要論文
ファイル形式
PDF
著者版/出版社版
出版社版
部局
医学部
備考
http://ci.nii.ac.jp/vol_issue/nels/AA00841586_jp.html
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