A case of lupus-like glomerulonephritis in an HIV patient with nephrotic range proteinuria, purpura, and elevated IgA level

Jihyun Yang, Min Young Seo, Ki Tae Kim, Jun Yong Lee, Sun Chul Kim, Myung gyu Kim, Sang Kyung Jo, Won Yong Cho, Hyoung Kyu Kim, Nam Hee Won, Ran Hui Cha, Eunjung Cho Dr

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4 Citations (Scopus)

Abstract

Human immunodeficiency virus (HIV) infection is growing medical concern worldwide. There are many types of glomerulonephritis which are associated with HIV infection. We report a case of a 53-year-old Korean man with an HIV infection, who was developed nephritic range proteinuria and purpura with elevated IgA level rasing a possibility of Henoch-Schölein Purpura (H-S purpura). However, renal biopsy showed "lupus-like feature" glomerulonephritis without clinical or serologic evidence of systemic lupus erythematosus. Although baseline renal function was maintained without further need for maintenance dialysis following anti-retroviral therapy (ART) and steroid, patient died from uncontrolled gastrointestinal bleeding.

Original languageEnglish
Pages (from-to)4467-4472
Number of pages6
JournalInternational Journal of Clinical and Experimental Pathology
Volume7
Issue number7
Publication statusPublished - 2014
Externally publishedYes

Keywords

  • Glomerulonephritis
  • HIV-associated nephropathy
  • Human immunodeficiency virus
  • Lupus nephritis
  • Renal biopsy

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Histology

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