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Plasma exchange in Immunoglobulin A nephropathy with thrombotic microangiopathy and acute cortical necrosis
A 25-year-old female presented with decreased urine output, deranged renal function, thrombocytopenia, and hemolytic anemia. Kidney biopsy was consistent with thrombotic microangiopathy with acute cortical necrosis and Immunoglobulin A nephropathy (IgAN). Hemolytic anemia, thrombocytopenia and urine...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753741/ https://www.ncbi.nlm.nih.gov/pubmed/26937078 http://dx.doi.org/10.4103/0971-4065.163423 |
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author | Doddi, P. Gowda, K. Ramachandran, R. Nada, R. Kumar, V. Rathi, M. Kohli, H. S. Gupta, K. L. |
author_facet | Doddi, P. Gowda, K. Ramachandran, R. Nada, R. Kumar, V. Rathi, M. Kohli, H. S. Gupta, K. L. |
author_sort | Doddi, P. |
collection | PubMed |
description | A 25-year-old female presented with decreased urine output, deranged renal function, thrombocytopenia, and hemolytic anemia. Kidney biopsy was consistent with thrombotic microangiopathy with acute cortical necrosis and Immunoglobulin A nephropathy (IgAN). Hemolytic anemia, thrombocytopenia and urine output improved after five sessions of plasma exchange. Renal function showed a delayed recovery and serum creatinine normalized by 3 months. This is first case of successful use of plasma exchange in hemolytic uremic syndrome with cortical necrosis associated with IgAN. |
format | Online Article Text |
id | pubmed-4753741 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-47537412016-03-02 Plasma exchange in Immunoglobulin A nephropathy with thrombotic microangiopathy and acute cortical necrosis Doddi, P. Gowda, K. Ramachandran, R. Nada, R. Kumar, V. Rathi, M. Kohli, H. S. Gupta, K. L. Indian J Nephrol Case Report A 25-year-old female presented with decreased urine output, deranged renal function, thrombocytopenia, and hemolytic anemia. Kidney biopsy was consistent with thrombotic microangiopathy with acute cortical necrosis and Immunoglobulin A nephropathy (IgAN). Hemolytic anemia, thrombocytopenia and urine output improved after five sessions of plasma exchange. Renal function showed a delayed recovery and serum creatinine normalized by 3 months. This is first case of successful use of plasma exchange in hemolytic uremic syndrome with cortical necrosis associated with IgAN. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4753741/ /pubmed/26937078 http://dx.doi.org/10.4103/0971-4065.163423 Text en Copyright: © 2016 Indian Journal of Nephrology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Doddi, P. Gowda, K. Ramachandran, R. Nada, R. Kumar, V. Rathi, M. Kohli, H. S. Gupta, K. L. Plasma exchange in Immunoglobulin A nephropathy with thrombotic microangiopathy and acute cortical necrosis |
title | Plasma exchange in Immunoglobulin A nephropathy with thrombotic microangiopathy and acute cortical necrosis |
title_full | Plasma exchange in Immunoglobulin A nephropathy with thrombotic microangiopathy and acute cortical necrosis |
title_fullStr | Plasma exchange in Immunoglobulin A nephropathy with thrombotic microangiopathy and acute cortical necrosis |
title_full_unstemmed | Plasma exchange in Immunoglobulin A nephropathy with thrombotic microangiopathy and acute cortical necrosis |
title_short | Plasma exchange in Immunoglobulin A nephropathy with thrombotic microangiopathy and acute cortical necrosis |
title_sort | plasma exchange in immunoglobulin a nephropathy with thrombotic microangiopathy and acute cortical necrosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753741/ https://www.ncbi.nlm.nih.gov/pubmed/26937078 http://dx.doi.org/10.4103/0971-4065.163423 |
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