IgA Nephropathy and Psoriatic Arthritis that Improved with Steroid Pulse Therapy and Mizoribine in Combination with Treatment for Chronic Tonsillitis and Epipharyngitis
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- Kaneko Tomohiro
- Division of Nephrology, Department of Internal Medicine, Nippon Medical School, Japan
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- Mii Akiko
- Division of Nephrology, Department of Internal Medicine, Nippon Medical School, Japan
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- Fukui Megumi
- Division of Nephrology, Department of Internal Medicine, Nippon Medical School, Japan
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- Nagahama Kiyotaka
- Department of Analytic Human Pathology, Nippon Medical School, Japan
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- Shimizu Akira
- Department of Analytic Human Pathology, Nippon Medical School, Japan
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- Tsuruoka Shuichi
- Division of Nephrology, Department of Internal Medicine, Nippon Medical School, Japan
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抄録
A 65-year-old man was admitted to our hospital with edema and renal dysfunction. He had received a diagnosis of psoriatic arthritis at 50 years of age. As a renal biopsy showed IgA nephropathy (IgAN), bilateral tonsillectomy was performed, and one course of steroid pulse therapy with an oral steroid and mizoribine were subsequently administered. The patient's proteinuria gradually reduced in association with an improvement in the renal function. In addition, the rash and arthralgia were ameliorated. In this case, adding treatment for chronic epipharyngitis accelerated the curative effects, and focal infection therapy consisting of immunosuppressive drugs was effective for both IgAN and psoriatic arthritis.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (9), 1085-1090, 2015
一般社団法人 日本内科学会