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KMID : 0359920090280050519
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Korean Journal of Nephrology
2009 Volume.28 No. 5 p.519 ~ p.524
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Crohn’s Disease in a Patient Undergoing Hemodialysis Caused by IgA Nephropathy
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Kim Bi-Ro
Yang Jae-Won
Choi Joung-Wook
Kim Young-Sub
Yu Jong-Myeng
Choi Seung-Ok
Han Byoung-Geun
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Abstract
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IgA nephropathy is usually localized to the kidney, however, it can accompany systemic disease, including gastrointestinal disease, skin disease, connective tissue disease, and malignant tumor. In some patients with IgA nephropathy which manifested as an extraintestinal symptom of Crohn’s disease, recovery of renal function was achieved following treatment of Crohn’s disease. The pathophysiology of each disease remains unclear. According to some studies, however, immunological, genetic, and environmental factors may be involved in a complex manner. In patients receiving renal replacement therapy for treatment of renal dysfunction due to IgA nephropathy, occurrence of Crohn’s disease as an extrarenal symptom has not been reported. We experienced a case of Crohn’s disease which developed in a patient receiving hemodialysis for treatment of end-stage renal disease due to IgA nephropathy.
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KEYWORD
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IgA nephropathy, Crohn’s disease, End-stage renal disease, Hemodialysis
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