SAT-087 MALIGNANT HYPERTENSION IN IGA NEPHROPATHY WITH THROMBOTIC MICROANGIOPATHY

Thrombotic Microangiopathy in IgA Nephropathy

Implication for health policy/practice/research/medical education: Thrombotic microangiopathy (TMA) occurs in IgA nephropathy, but is uncommon in the setting of IgA nephropathy. However, the reports of overlapping morphologic lesions of TMA and IgAN are poorly understood and debatable and needs more attention in larger series of IgAN. Copyright © 2013, Iranian Red Crescent Medical Journal; Publ...

thrombotic microangiopathy in iga nephropathy

[IgA nephropathy with malignant hypertension].

症 例 患者:29歳,女 性.主 訴:頭 痛,高 血圧.既 往歴,家 族歴:特 記すべ きことな し.現 病歴: 1995年 よ り尿 蛋白,1998年 よ り高血圧 を指摘 さ れる も放置.こ の ころか ら頭痛発作 を繰 り返 し ていた.2000年 の検診で高血圧,尿 蛋 白,尿 潜 血,貧 血,心 電 図異常 を指摘 され,同 年7月13 日当院を初診.初 診時身体所見:意 識清明,身 長160cm,体 重52kg,体 温36.8°C,血 圧240/140 孤mHg,上 下肢差 ・左右差な し,脈 拍80/分 整, 胸 部にラ音 ・心雑音 を聴取せ ず.腹 部平坦軟, 血管雑音 を聴取 せず.下 腿 に浮腫 な し.胸 水 ・ 腹水 を認めず.神 経学 的異常所 見な し.眼 底に 高血圧性 網膜症(Keith-Wagener III度)を 認め, 悪性高血圧B群 と診断 ...

A clinicopathologic study of thrombotic microangiopathy in IgA nephropathy.

Thrombotic microangiopathy (TMA) occurs in IgA nephropathy, but its clinical significance is not well described. We retrospectively examined a series of 128 patients diagnosed with IgA nephropathy between 2002 and 2008 who had a mean follow-up of 44±27 months. In our series, 53% presented with lesions of TMA, acute or organized, in arteries and/or arterioles. Among patients with TMA, 4% were no...

The malignant hypertension-thrombotic microangiopathy link.