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KMID : 0880520150510020102
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Chonnam Medical Journal
2015 Volume.51 No. 2 p.102 ~ p.105
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A Case of Membranous Glomerulonephritis with Superimposed Anti-Neutrophil Cytoplasmic Antibody-Associated Rapidly Progressive Crescentic Glomerulonephritis
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Kim Yoo-Hyung
Kim Hae-Ri
Ham Young-Rok
Jeon Jae-Woong
Chung Sa-rah
Choi Dae-Eun
Lee Kang-Wook
Na Ki-Ryang
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Abstract
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Idiopathic membranous glomerulonephritis (IMGN) is commonly diagnosed in adults with proteinuria. Rapid deterioration of renal function is a rare complication of IMGN, except when accompanied by renal vein thrombosis, malignant hypertension, or other underlying disease, including lupus nephritis. Here, we present a case of rapid deterioration of renal function in a patient with MGN superimposed with anti-neutrophil cytoplasmic antibody (ANCA)-associated rapidly progressive crescentic glomerulonephritis (RPGN). Overall, about 20 cases of MGN with ANCA-associated RPGN have been reported. This case of biopsy-proven MGN with ANCA-associated RPGN is the first to be reported in Korea.
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KEYWORD
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Glomerulonephritis, Membranes, Antibodies, Anti-neutrophil cytoplasmic antibody-associated vasculitis
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