Document Detail


Steroid-resistant nephrotic syndrome associated with Kimura's disease.
MedLine Citation:
PMID:  12169873     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Kimura's disease is a chronic inflammatory disease characterized by tumor-like lesions in the soft tissue and lymph nodes of head and neck area or parotid gland. It has a high frequency of an association with nephrotic syndrome. Reported cases of nephrotic syndrome and Kimura's disease were mostly from adult patients with only 5 children mentioned. This study reports the case of a 15-year-old-boy who manifested with steroid-resistant nephrotic syndrome for 4 years. Pathological examination of the kidney revealed mild mesangial proliferation. Subsequently, he developed a soft-tissue mass in the parotid gland area. Histopathological investigation of the mass revealed eosinophilic infiltration together with plasma cells and mast cells which is a main characteristic of Kimura's disease. The patient, however, continued to have nephrotic-range proteinuria after removing the subcutaneous mass.
Authors:
Wattana Chartapisak; Sauwalak Opastirakul
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of nephrology     Volume:  22     ISSN:  0250-8095     ISO Abbreviation:  Am. J. Nephrol.     Publication Date:    2002 Jul-Aug
Date Detail:
Created Date:  2002-08-09     Completed Date:  2002-10-04     Revised Date:  2007-02-14    
Medline Journal Info:
Nlm Unique ID:  8109361     Medline TA:  Am J Nephrol     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  381-4     Citation Subset:  IM    
Copyright Information:
Copyright 2002 S. Karger AG, Basel
Affiliation:
Renal Unit, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Thailand. wchartap@med.cmu.ac.th
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Angiolymphoid Hyperplasia with Eosinophilia / complications*
Anti-Inflammatory Agents / therapeutic use*
Cyclophosphamide / therapeutic use
Dermatologic Agents / therapeutic use
Drug Resistance*
Humans
Immunosuppressive Agents / therapeutic use
Kidney / pathology
Male
Nephrotic Syndrome / complications*,  drug therapy*,  pathology
Prednisolone / therapeutic use*
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Dermatologic Agents; 0/Immunosuppressive Agents; 50-18-0/Cyclophosphamide; 50-24-8/Prednisolone

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