罕见的IgA血管炎和IgA肾病1例报告。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-07-03 eCollection Date: 2025-01-01 DOI:10.55729/2000-9666.1502

Mark A Colantonio, Nicholas Condiles, Alan P Lim, Khaled Shawwa

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引用次数: 0

摘要

免疫球蛋白A （IgA）肾病是世界上最常见的肾小球肾炎。虽然IgA肾病主要表现为肾脏表现，但与血管炎相关的全身症状并不常见。通常，肌酐被用作肾功能障碍的血清标志物；然而，它可能并不总是敏感的，特别是在肌肉量低的患者中。在这种情况下，胱抑素C可能是一个更好的肾功能指标。在此，我们报告了一例血清肌酐正常，胱抑素C升高的IgA肾病，强调了胱抑素C在肌酐正常的情况下的效用，并高度怀疑肾功能不全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

An Unusual Presentation of IgA Vasculitis and IgA Nephropathy: A Case Report.

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An Unusual Presentation of IgA Vasculitis and IgA Nephropathy: A Case Report.

Immunoglobulin A (IgA) nephropathy is the most common glomerulonephritis worldwide. While IgA nephropathy mainly presents with renal manifestations, systemic symptoms associated with vasculitis are uncommon. Oftentimes, creatinine is used as a serum marker for renal dysfunction; however, it may not always be sensitive, especially in patients with low muscle mass. In such cases, cystatin C may prove to be a better indicator of renal function. Here, we present a case of IgA nephropathy with a normal serum creatinine and elevated cystatin C, highlighting the utility of cystatin C in the setting of a normal creatinine and high suspicion for renal dysfunction.

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来源期刊

Journal of Community Hospital Internal Medicine Perspectives MEDICINE, GENERAL & INTERNAL-

自引率

0.00%

发文量

106

审稿时长

17 weeks

期刊介绍： JCHIMP provides: up-to-date information in the field of Internal Medicine to community hospital medical professionals a platform for clinical faculty, residents, and medical students to publish research relevant to community hospital programs. Manuscripts that explore aspects of medicine at community hospitals welcome, including but not limited to: the best practices of community academic programs community hospital-based research opinion and insight from community hospital leadership and faculty the scholarly work of residents and medical students affiliated with community hospitals.