Membranous Glomerulonephritis

소개글

전신 부종
3-month history of intermittent swelling of his ankles
puffiness of his face
2. 저알부민 혈증
Serum albumin이 감소(26g/L)
3. 단백뇨(성인에서 3.5g/day 소실)
7.8g/day urinary protein loss

BP 130/80
ESR of 32mm/h (NL: 9이하; 남자인 경우)
blood urea가 증가(질소혈증; 9.1mmol/L)
IgG was low at 5.1g/l

목차

1. 전신 부종
2. 저알부민 혈증
3. 단백뇨(성인에서 3.5g/day 소실)
4. 진단시 접근법: proteinuriaproteinuria

본문내용

Membranous Glomerulonephritis
What is your diagnosis?
f 7.8g/day and a creatinine clearance of 106ml/min. His serum immunoglobulin IgM and IgA, C3 and C4 levels were normal, but his IgG was low at 5.1g/l. Antinuclear antibodies and hepatitis B surface antigen were not detected, and the antistreptolysin O titre was not raised. There were no free light chains in his urine.
문제점
1. 전신 부종
3-month history of intermittent swelling of his ankles
puffiness of his face
2. 저알부민 혈증
Serum albumin이 감소(26g/L)
3. 단백뇨(성인에서 3.5g/day 소실)
7.8g/day urinary protein loss
BP 130/80
ESR of 32mm/h (NL: 9이하; 남자인 경우)
a가 증가(질소혈증; 9.1mmol/L)
IgG was low at 5.1g/l
4. 진단시 접근법: proteinuriaproteinuria
7.8g/d
성인호발 Nephrotic Syndrome
Membranous Nephropathy(30%)
Focal Segmental glomerulosclerosis(30%)
Minimal lesion(15%)
Type 1 membranoproliferative GN(5%)
1. 검사법과 조직학적 진단
소변검사
혈뇨와 단백뇨 유무
혈액 생화학 검사
크레아티닌, 혈중 요소 질소, 콜레스테롤, 알부민 등
혈청검사
B형, C형 간염 표식자, 홍반성 낭창의 항핵항체, 혈청 보체의 감소 등
신생검
정확한 진단명을 얻을 수 있

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