| CASE REPORT |
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| Year : 2019 | Volume
: 29
| Issue : 2 | Page : 140-142 |
Primary membranous glomerulonephritis-associated with schistosomal nephropathy
Walaa Hosny Mohammad Ibrahim1, Mostafa Gaafar Aly2, Marwa Kamal Abdo1, Wesam Ismail3
1 Internal Medicine Department-Nephrology Unit, Assiut University Hospital, Egypt
2 Internal Medicine Department-Nephrology Unit, Assiut University Hospital, Egypt; Department of Nephrology, University of Heidelberg, Heidelberg, Germany
3 Department of Pathology, Beni Seuf University, Beni Seuf, Egypt
Correspondence Address:
Walaa Hosny Mohammad Ibrahim
Internal Medicine Department-Nephrology Unit, Assiut University Hospital, Assiut
Egypt
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijn.IJN_7_18
The association of bilharziasis with membranous nephropathy (MN) has long been debated. The relatively recent use of antibodies against the M-type phospholipase A2 receptor (PLA2R) has been proposed as a valuable tool to discriminate the idiopathic from secondary MNs. Anti-PLA2R antibodies are found in sera from about 70% of iMN patients, in contrast to patients with secondary MN, in whom serum anti-PLA2R antibodies could not be detected. In the current case report, we detected anti-PLA2R antibodies both in serum and renal biopsy from a patient with MN associated with Schistosoma mansoni. This finding confirms the idiopathic nature of the MN and excludes schistosomiasis as the triggering agent of MN. After treating bilharziasis, Ponticelli regimen was initiated without a significant improvement.
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