Document Detail


Hepatitis B virus associated focal and segmental glomerular sclerosis: report of two cases and review of literature.
MedLine Citation:
PMID:  19169768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The hepatitis B virus (HBV) is estimated to have infected about 350 million people worldwide, making it one of the most common human pathogens. Renal involvement is among its most common extra hepatic manifestations and usually manifests in the form of immune complex mediated glomerulopathy, such as membranous glomerulonephritis (MGN), membranoproliferative glomerulonephritis (MPGN), mesangioproliferative glomerulonephritis and immunoglobulin A (IgA) nephropathy. Occurrence of focal and segmental glomerular sclerosis (FSGS) with HBV infection is rare and only five cases have been reported earlier. We report two cases of hepatitis B associated FSGS. In both the cases, HBsAg was demonstrated in the renal tissue and both the cases showed response to treatment with lamivudine, thus indicating a possible causal association between the viral infection and occurrence of nephrotic syndrome.
Authors:
Ambar Khaira; Bala Krishna Upadhyay; Alok Sharma; Prasenjit Das; Sandeep Mahajan; Govind Makhariya; Amit K Dinda; Sanjay K Agarwal; Suresh C Tiwari
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-01-24
Journal Detail:
Title:  Clinical and experimental nephrology     Volume:  13     ISSN:  1437-7799     ISO Abbreviation:  Clin. Exp. Nephrol.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-06     Completed Date:  2009-10-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9709923     Medline TA:  Clin Exp Nephrol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  373-7     Citation Subset:  IM    
Affiliation:
Department of Nephrology, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Biopsy
DNA, Viral / blood
Glomerulosclerosis, Focal Segmental / drug therapy,  virology*
Hepatitis B / complications*,  diagnosis,  drug therapy
Hepatitis B Antigens / analysis*
Hepatitis B Core Antigens / analysis
Hepatitis B Surface Antigens / analysis
Hepatitis B virus / genetics,  immunology*
Humans
Immunohistochemistry
Kidney / virology*
Lamivudine / therapeutic use
Male
Nephrotic Syndrome / drug therapy,  virology*
Proteinuria / virology
Treatment Outcome
Chemical
Reg. No./Substance:
0/DNA, Viral; 0/Hepatitis B Antigens; 0/Hepatitis B Core Antigens; 0/Hepatitis B Surface Antigens; 134678-17-4/Lamivudine

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