Five cases of tonsillectomy and steroid pulse therapy for recurrent immunoglobulin A nephropathy after kidney transplantation
Five cases of recurrent immunoglobulin A nephropathy (IgAN) after kidney transplantation were successfully treated by tonsillectomy and steroid pulse therapy (SPT). The clinical background and pathology in the five cases were different, but good results were obtained in all of them. In cases 1 and 2, mild recurrent IgAN developed and failed to remit after tonsillectomy alone, but a remission was achieved in both cases after SPT. In case 3, highly active recurrent IgAN with crescent lesions developed 13 years after kidney transplantation, and a remission was achieved after SPT. In case 4, renal biopsy specimens showed pathological findings of recurrent IgAN with tubulitis, and hematuria and proteinuria resolved after SPT. In case 5, the biopsy findings indicated recurrent IgAN with chronic rejection. Tonsillectomy was followed by resolution of the proteinuria, and a remission was achieved after SPT. In conclusion, SPT is effective in inducing a remission of recurrent IgAN when tonsillectomy alone fails.
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- Five cases of tonsillectomy and steroid pulse therapy for recurrent immunoglobulin A nephropathy after kidney transplantation
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CEN Case Reports
Volume 3, Issue 1 , pp 118-122
- Cover Date
- Online ISSN
- Springer Japan
- Additional Links
- Recurrent IgA nephropathy
- Steroid pulse
- Kidney transplantation
- Author Affiliations
- 1. Department of Medicine, Kidney Center, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan
- 2. Department of Nephrology, Okubo Hospital, Tokyo Metropolitan Health and Medical Treatment Corporation, Tokyo, Japan
- 3. Department of Transplantation, Okubo Hospital, Tokyo Metropolitan Health and Medical Treatment Corporation, Tokyo, Japan
- 4. Hotta Osamu Clinic, Miyagi, Japan
- 5. Department of Urology, Tokyo Women’s Medical University, Tokyo, Japan