IgA Nephropathy: A conundrum – A case of secondary hypertension

Authors

  • A. Correia Interno do Complementar de Medicina Interna do Hospital de Santa Maria
  • M. Barbosa Interno do Complementar de Medicina Interna do Hospital de Santa Maria
  • A. Chipepo Interno do Ano Comum do Hospital de Santa Maria
  • A. Jerónimo Interno do Ano Comum do Hospital de Santa Maria
  • A. Lima Interno do Ano Comum do Hospital de Santa Maria
  • G.A. Mendes nterno do Ano Comum do Hospital de Santa Maria
  • L. Menezes Falcão Hospital de Santa Maria; Faculdade de Medicina de Lisboa
  • L. Ravara Serviço de Medicina I do Hospital de Santa Maria; Faculdade de Medicina de Lisboa

Keywords:

IgA nefrophathy, Berger disease, arterial hipertension, deposits of IgA, renal transplantation

Abstract

IgA nephropathy or Berger disease is an idiopathic glomerulonephritis without a well established etiology. It represents the most
common cause of this entity in the world.
The disease has pleomorphic presentations with confounding
consequences as it happen in our case. A recurrent gross hematuria or an asymptomatic microscopic hematuria associated with
mild proteinuria can give the clue for the diagnosis.
Arterial hypertension in young age is another sign that can help thinking in IgA nephropathy.
End-stage renal disease is the final phase of the slow progression of renal insufficiency that occurs in up to 50 percent of patients. An early diagnosis is essential to improve.

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References

Kasper D L et al. Disorders of the kidney and urinary tract . In Harrison´s Principles of Internal Medicine 16th edition. New York: Mc Graw Hill

:1674-1694.

Varrelli M. Chronic renal Failure. Emedicine. 2006.

Fervenza F, Texlor S. Hipertensive Nephropathy. Emedicine. 2007.

Soman S, Soman A. Diabetes Nephropathy. Emedicine. 2006.

Lawrence M, Tierney Jr. Current Medicinal Diagnosis & Treatment. Mc Graw Hill. 2007; 22:922-953.

Donadio J V , Grande J P. IgA Nephropathy. N Engl J Med 2002; 347:738-748.

Brake M. IgA Nephropathy. Emedicine. 2007

Barratt J, Feehally J. Causes and diagnosis of IgA Nephropathy 2007 <http://www.uptodateonline.com>.

Bossart P. Henoch-Schönlein Purpura. Emedicine 2006.

Tanna N. Wegener Granulomatosis. Emedicine 2007.

Cattran DC., Appel GB. Treatment and prognosis of IgA Nephropathy 2007 <http://www.uptodateonline.com>.

Prontuário terapêutico online. 2007. <http://www.infarmed.pt>

Macário F. Relatório do Registo Nacional de transplantação renal 1980-2006. 2007

Additional Files

Published

2009-09-30

How to Cite

1.
Correia A, Barbosa M, Chipepo A, Jerónimo A, Lima A, Mendes G, Menezes Falcão L, Ravara L. IgA Nephropathy: A conundrum – A case of secondary hypertension. RPMI [Internet]. 2009 Sep. 30 [cited 2024 Nov. 21];16(3):164-9. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1415

Issue

Section

Case Reports