KMID : 0882420140870050609
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Korean Journal of Medicine 2014 Volume.87 No. 5 p.609 ~ p.614
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A Case of Crescentic Glomerulonephritis and Marginal Zone B-cell Lymphoma
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Yi Yong-Jin
Ryu Hyun-Jin Park Ji-In Lee Jung-Pyo Lim Chun-Soo Moon Kyung-Chul Oh Yun-Kyu
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Abstract
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Secondary rapidly progressive glomerulonephritis (RPGN) can be caused by many diseases and conditions, including vasculitis, systemic rheumatic diseases, infections, drugs and malignancies. Among the secondary RPGNs, malignancy-associated RPGN is extremely rare and causes renal function deterioration within several weeks to months. Thus, timely immunosuppressant therapy can improve renal outcome. Herein, we describe a case of RPGN detected simultaneously with marginal zone B-cell lymphoma. An 82-year-old male patient, who presented generalized edema and oliguria, was diagnosed with crescentic glomerulonephritis and marginal B-cell lymphoma. After the patient was given methylprednisolone pulse therapy, renal function was restored and hemodialysis was successfully discontinued without complications.
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KEYWORD
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Crescentic glomerulonephritis, Rapidly progressive glomerulonephritis, Marginal zone B-cell lymphoma
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