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만성신질환의 경과 중 급성 악화를 보인 허탈성 사구체병증의 진단 1예
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  • 만성신질환의 경과 중 급성 악화를 보인 허탈성 사구체병증의 진단 1예
  • A Case of Idiopathic Collapsing Glomerulopathy Showing Aggravation on a Chronic Progressive Course
저자명
박정민,황문주,정요한,이한솔,박종원,김용진,Park. Jung Min,Hwang. Mun Ju,Jeong. Yo Han,Lee. Hansol,Park. Jong Won,Kim. Yong Jin
간행물명
영남의대 학술지
권/호정보
2012년|29권 2호|pp.102-105 (4 pages)
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영남의대학술지편집위원회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Collapsing glomerulopathy (CG) has become an important cause of end-stage renal disease (ESRD). First delineated from other proteinuric glomerular lesions in the 1980s, CG is now recognized as a common, distinct pattern of proliferative parenchymal injury that portends a rapid loss of renal function and poor responses to empirical therapy. The first cases in the literature trace back to human-immunodeficiency-virus(HIV)-negative patients who underwent biopsy in 1979. A 45-year-old male patient complained of hematuria and proteinuria eight years ago. He showed an abrupt serum creatinine increase from 1.75 to 2.65 mg/dL in the last preceding months. Afterwards, his serum creatinine progressively increased up to 6.82 mg/dL. Moreover, his 24 h urine protein level was determined to have reached 6,171 mg/day, as opposed to 670 mg/day a year earlier. Consequently, renal biopsy was performed, and its result showed collapsing glomerulopathy, compatible with the diagnosis. He has undergone continuous ambulatory peritoneal dialysis as renal replacement therapy. Thus, it is reported herein that a patient clinically diagnosed with chronic kidney disease eight years ago showed a sudden renal-function decrease and was clinicopathologically diagnosed with collapsing glomerulopathy based on the results of his renal biopsy.