[A patient with rheumatoid arthritis presenting a nephrotic syndrome: A case report].

[A patient with rheumatoid arthritis presenting a nephrotic syndrome: A case report].
Nephrol Ther. 2019 Oct 18;:
Authors: Daniel A, Gibier JB, Azar R
Abstract
A fifty-one years-old patient with a history of rheumatoid arthritis of recent diagnosis is hospitalized for exploration of a rapidly progressive anasarca state. First analysis discovered an impure nephrotic syndrome (acute renal failure, hematuria) and massive glomerular proteinuria. Auto-medication by nonsteroidal anti-inflammatory drug was revealed. Renal biopsy showed minimal glomerular disease and acute tubular necrosis. Corticosteroid use permitted a normalization of proteinuria and renal recovery was obtained. Literature review showed renal impairment occurring in rheumatoid polyarthritis. Minimal glomerular disease is rare but can be associated with rheumatoid arthritis. This disease, associated with the use of nonsteroidal anti-inflammatory drug, may be responsible of the patient condition.
PMID: 31636048 [PubMed - as supplied by publisher]

Source: Nephrologie and Therapeutique - October 17, 2019 Category: Urology & Nephrology Authors: Daniel A, Gibier JB, Azar R Tags: Nephrol Ther Source Type: research