IgA Nephropathy and Psoriatic Arthritis that Improved with Steroid Pulse Therapy and Mizoribine in Combination with Treatment for Chronic Tonsillitis and Epipharyngitis

被引：10

作者：

Kaneko, Tomohiro ^{[1
]}

Mii, Akiko ^{[1
]}

Fukui, Megumi ^{[1
]}

Nagahama, Kiyotaka ^{[2
]}

Shimizu, Akira ^{[2
]}

Tsuruoka, Shuichi ^{[1
]}

机构：

[1] Nippon Med Sch, Dept Internal Med, Div Nephrol, Tokyo, Japan

[2] Nippon Med Sch, Dept Analyt Human Pathol, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2015年 / 54卷 / 09期

关键词：

IgA nephropathy; psoriatic arthritis; focal infection treatment; IMMUNOGLOBULIN-A NEPHROPATHY; CLINICAL REMISSION; TONSILLECTOMY; INFECTIONS;

D O I：

10.2169/internalmedicine.54.3510

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 65-year-old man was admitted to our hospital with edema and renal dysfunction. He had received a diagnosis of psoriatic arthritis at 50 years of age. As a renal biopsy showed IgA nephropathy (IgAN), bilateral tonsillectomy was performed, and one course of steroid pulse therapy with an oral steroid and mizoribine were subsequently administered. The patient's proteinuria gradually reduced in association with an improvement in the renal function. In addition, the rash and arthralgia were ameliorated. In this case, adding treatment for chronic epipharyngitis accelerated the curative effects, and focal infection therapy consisting of immunosuppressive drugs was effective for both IgAN and psoriatic arthritis.

引用

页码：1085 / 1090

页数：6

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