A patient with rheumatoid arthritis presenting a nephrotic syndrome: A case report

被引：0

作者：

Daniel, Adrien ^{[1
]}

Gibier, Jean-Baptiste ^{[2
]}

Azar, Raymond ^{[3
]}

机构：

[1] CHRU Lille, Rue Michel Polonowski, F-59000 Lille, France

[2] CHRU Lille, Ctr Biol Pathol, F-59000 Lille, France

[3] Ctr Hosp Dunkerque, Serv Nephrol, 130 Ave Louis Herbaux, F-59240 Dunkerque, France

来源：

NEPHROLOGIE & THERAPEUTIQUE | 2019年 / 15卷 / 06期

关键词：

Kidney failure; Minimal glomerular disease; Nephrotic syndrome; Nonsteroidal anti-inflammatory drug; Rheumatoid arthritis;

D O I：

10.1016/j.nephro.2019.04.004

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A fifty-one years-old patient with a history of rheumatoid arthritis of recent diagnosis is hospitalized for exploration of a rapidly progressive anasarca state. First analysis discovered an impure nephrotic syndrome (acute renal failure, hematuria) and massive glomerular proteinuria. Auto-medication by nonsteroidal anti-inflammatory drug was revealed. Renal biopsy showed minimal glomerular disease and acute tubular necrosis. Corticosteroid use permitted a normalization of proteinuria and renal recovery was obtained. Literature review showed renal impairment occurring in rheumatoid polyarthritis. Minimal glomerular disease is rare but can be associated with rheumatoid arthritis. This disease, associated with the use of nonsteroidal anti-inflammatory drug, may be responsible of the patient condition. (C) 2019 Societe francophone de nephrologie, dialyse et transplantation. Published by Elsevier Masson SAS. All rights reserved.

引用

页码：461 / 464

页数：4

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