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2014 ; 3
(2
): 145-147
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Atypical triad of IgA nephropathy: reversible acute kidney injury, gross
hematuria, and severe bilateral flank pain
#MMPMID28509188
Kim S
; Chang W
CEN Case Rep
2014[Nov]; 3
(2
): 145-147
PMID28509188
show ga
Reversible acute kidney injury very rarely complicates the course of
immunoglobulin A (IgA) nephropathy. We report an atypical case of reversible
acute kidney injury, gross hematuria, and severe bilateral flank pain as the
presenting triad of IgA nephropathy. Renal biopsy revealed mesangial IgA
deposition without glomerular crescents. The patient's renal dysfunction,
mediated by red cell tubular obstruction, interstitial nephritis, and tubular
necrosis, resolved without intervention. We conclude that IgA nephropathy should
be considered in the differential diagnosis for transient acute kidney injury
with gross hematuria, and should be appropriately treated based on known
prognostic factors.