A Case of Rapidly Progressive Glomerulonephritis in Henoch-Schönlein Purpura

Chang, Soo-Hee; Jo, Dae-Sun; Lee, Dae-Yeol

J Korean Soc Pediatr Nephrol > Volume 1(1); 1997 > Article

J Korean Soc Pediatr Nephrol 1997;1(1): 82-85.

급속 진행성 사구체신염형의 Henoch-Schönlein 신염 1 례

장수희, 조대선, 이대열

¹전북대학교 의과대학 소아과학교실
²전북대학교 의과대학 소아과학교실
³전북대학교 의과대학 소아과학교실

A Case of Rapidly Progressive Glomerulonephritis in Henoch-Schönlein Purpura

Soo-Hee Chang, Dae-Sun Jo, Dae-Yeol Lee

¹Department of Pediatrics, Chonbuk National University Medical School
²Department of Pediatrics, Chonbuk National University Medical School
³Department of Pediatrics, Chonbuk National University Medical School

ABSTRACT

The incidence of nephritis associated with Henoch-Sch nlein purpura varies, but glomerulonephritis consistently accounts for most of the associated morbidity and mortality. A very small number of Henoch-Sch nlein purpura develop rapidly progressive glomerulonephritis. A three-year old male patient who showed acute nephritic nephrotic syndrome developed abdominal pain, arthralgia and multiple purpurae on lower extremities later. Peritoneal dialysis was done at the 6th hospital day and continued for 7 months. Renal biopsy disclosed crescentic glomerulonephritis (with 81% crescent formation) and methylprednisolone pulse therapy was done. These days, his general condition is good, but serum creatinine levels are 1.2-1.3 mg/dL. This case was reviewed briefly with the literatures.

Key words: $Henoch-Sch\""{o}nlein$ purpura | Rapidly progressive glomerulonephritis (RPGN)