Document Detail


Secondary polycythemia associated with idiopathic membranous nephropathy.
MedLine Citation:
PMID:  10970991     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 58-year-old male patient had secondary polycythemia associated with idiopathic nephrotic syndrome. The renal biopsy revealed membranous nephropathy, and the bone marrow biopsy disclosed hypercellular marrow with mild panhyperplasia. The concentration of serum erythropoietin was 8.5 mU/ml. The erythrocytosis was characterized by an increased red cell volume (40.2 ml/kg) and normal arterial oxygen saturation. There were no associated lesions that could induce secondary polycythemia, except the biopsy-proven membranous nephropathy. He was treated with prednisolone and cyclophosphamide, and the nephrotic syndrome was partially remitted after 6 weeks. With partial remission of nephrotic syndrome, the erythrocytosis was resolved. This case illustrates the rarely reported association of the nephrotic syndrome and erythrocytosis, and the resolution of erythrocytosis with improvement of nephrotic syndrome.
Authors:
C S Lim; K H Jung; Y S Kim; C Ahn; J S Han; S Kim; J S Lee
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of nephrology     Volume:  20     ISSN:  0250-8095     ISO Abbreviation:  Am. J. Nephrol.     Publication Date:    2000 Jul-Aug
Date Detail:
Created Date:  2000-10-10     Completed Date:  2000-11-07     Revised Date:  2007-02-14    
Medline Journal Info:
Nlm Unique ID:  8109361     Medline TA:  Am J Nephrol     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  344-6     Citation Subset:  IM    
Copyright Information:
Copyright 2000 S. Karger AG, Basel
Affiliation:
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Bone Marrow / pathology
Cyclophosphamide / therapeutic use
Drug Therapy, Combination
Erythrocyte Volume
Erythropoietin / blood
Glomerulonephritis, Membranous / complications*,  drug therapy,  pathology
Glucocorticoids / therapeutic use
Humans
Hyperplasia
Male
Microscopy, Electron
Middle Aged
Nephrotic Syndrome / complications,  drug therapy
Oxygen / blood
Polycythemia / etiology*,  pathology
Prednisolone / therapeutic use
Chemical
Reg. No./Substance:
0/Glucocorticoids; 11096-26-7/Erythropoietin; 50-18-0/Cyclophosphamide; 50-24-8/Prednisolone; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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