Membranous nephropathy with Neuromyelitis optica spectrum disorder

被引:8
作者
Li, Xiangling [1 ]
Wang, YanQiang [2 ]
机构
[1] Wei Fang Med Univ, Affiliated Hosp, Dept Internal Med, Dept Nephrol, Weifang, Peoples R China
[2] Wei Fang Med Univ, Affiliated Hosp, Dept Neurol, 2428 Yuhe Rd, Weifang 261031, Shandong, Peoples R China
关键词
Membranous nephropathy; Neuromyelitis optica spectrum disorders; Proteinuria; Intractable hiccup and vomiting; CLINICAL-CHARACTERISTICS;
D O I
10.1016/j.msard.2017.05.007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Membranous nephropathy (MN) accompanying Neuromyelitis optica spectrum disorders (NMOSD) has rarely been described previously. We recently presented a 45-year-old Chinese male presenting with recurrent lower extremity pitting edema, or eyelid edema, proteinuria and hyperlipidemia. especially intractable hiccup and vomiting, painful tonic spasm (PTS) as the revealing symptom of a demyelinating disorder of central nervous system. The kindey biopsy specimen showed MN stage 2. Serological testing revealed antibodies AQP4, MRI head and spine revealed medulla oblongata and C1-C2 cervical vertebra lesions. Treatment with methylprednisolone, cyclophosphamide, azathioprine resulted in consistent clinical improvement.
引用
收藏
页码:49 / 51
页数:3
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