Pulmonary cavitary lesions may be one of the presenting features in Ig A nephropathy

  • B. Isci Department of Internal Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
  • T.S. Gamsiz Department of Internal Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
  • S. Kayipmaz Department of Pathology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
  • O. Keskin Department of Internal Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
  • M.E. Tezcan | engintez@yahoo.com Department of Rheumatology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.

Abstract

Immunoglobulin A (Ig A) nephropathy is the most frequent primary glomerulonephritis. Renal limited disease is the most widespread clinical form of the disease. Pulmonary involvement may also be seen concomitantly and capillaritis with pulmonary hemorrhage is the most frequent pulmonary involvement. In this paper, for the first time in literature, we describe an Ig A nephropathy patient with multiple pulmonary cavities as one of the presenting features of the disease. Also, no other etiology for the cavities was found other than Ig A nephropathy. Herein, possible pathogenesis might be capillaritis or deposition of immune complexes. As a result, it should be kept in mind that pulmonary cavity may be the presenting feature of Ig A nephropathy especially with other frequent signs of the disease.

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Author Biographies

B. Isci, Department of Internal Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul
M.D.
T.S. Gamsiz, Department of Internal Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul
M.D.
S. Kayipmaz, Department of Pathology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul
M.D.
O. Keskin, Department of Internal Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul
M.D.
M.E. Tezcan, Department of Rheumatology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul
M.D.
Published
2018-07-06
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Section
Case Reports
Keywords:
Ig A nephropathy, Pulmonary renal syndrome, Pulmonary cavity.
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How to Cite
Isci, B., Gamsiz, T., Kayipmaz, S., Keskin, O., & Tezcan, M. (2018). Pulmonary cavitary lesions may be one of the presenting features in Ig A nephropathy. Reumatismo, 70(2), 111-114. https://doi.org/10.4081/reumatismo.2018.1037