A 55-Year-Old Male Presenting With a Lower Extremity Rash: A Case of Immunoglobulin A (IgA) Nephropathy
| Autor: | Ali Rahim, Oghenekpaobor Oyibo, Sunjay Modi, Megan Scott, Eric Denha |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Immunoglobulin A
medicine.medical_specialty 030204 cardiovascular system & hematology Gastroenterology Nephropathy 03 medical and health sciences 0302 clinical medicine Internal medicine Biopsy Internal Medicine medicine hepatitis c Hepatitis biology medicine.diagnostic_test leukocytoclastic vasculitis business.industry General Engineering Hepatitis C medicine.disease Rash Nephrology iga nephropathy Skin biopsy biology.protein medicine.symptom Vasculitis business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.14165 |
| Popis: | Immunoglobulin A (IgA) nephropathy, mesangial deposition of IgA in renal parenchyma, typically presents with hematuria and proteinuria. Leukocytoclastic vasculitis (LCV), a small-vessel vasculitis, can present secondary to IgA. We will discuss a case of secondary IgA nephropathy with concomitant LCV in a patient with reactivated hepatitis C. A 55-year-old male with decompensated alcoholic cirrhosis presented for a bilateral lower-extremity rash. The patient was diagnosed with IgA nephropathy, by kidney biopsy, and skin biopsy showing LCV. Further investigation revealed hepatitis C viral load was 275,000. We present a rare presentation of secondary IgA nephropathy with concomitant LCV, which we hypothesize was secondary to reactivation of hepatitis C. |
| Databáze: | OpenAIRE |
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