A Case of Advanced IgA Nephropathy with Reduced Clinical Findings after Tonsillectomy

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  • Suzuki Midori
    Division of Nephrology, Hypertension and Endocrinology, Department of Medicine, Nihon University School of Medicine
  • Ishihara Yuko
    Division of Nephrology, Hypertension and Endocrinology, Department of Medicine, Nihon University School of Medicine
  • Uto Eisaku
    Division of Nephrology, Hypertension and Endocrinology, Department of Medicine, Nihon University School of Medicine
  • Ito Ken
    Division of Nephrology, Hypertension and Endocrinology, Department of Medicine, Nihon University School of Medicine
  • Fuke Yoshinobu
    Division of Nephrology, Hypertension and Endocrinology, Department of Medicine, Nihon University School of Medicine
  • Fujita Takayuki
    Division of Nephrology, Hypertension and Endocrinology, Department of Medicine, Nihon University School of Medicine
  • Matsumoto Koichi
    Division of Nephrology, Hypertension and Endocrinology, Department of Medicine, Nihon University School of Medicine

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Other Title
  • 扁桃摘出後に腎組織障害が潜在性に進行したＩｇＡ腎症の一例
  • 症例報告 扁桃摘出後に腎組織障害が潜在性に進行したIgA腎症の一例
  • ショウレイ ホウコク ヘントウ テキシュツ ゴ ニ ジンソシキ ショウガイ ガ センザイセイ ニ シンコウ シタ IgAジンショウ ノ 1レイ

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Abstract

A 38-year-old female was referred to our hospital with proteinuria. She had exhibited a urinary abnormality for the past 16 years since she was 22 years of age. She was diagnosed with IgA nephropathy of the good prognosis group based upon histological examination. Therefore, she was not treated at that time except for undergoing tonsillectomy for prevention of focal tonsillar infection. After 16 years, she was again reported due to her continuous proteinuria. A second biopsy revealed advanced IgA nephropathy without indication of glucocorticoid treatment. This evidence suggests that tonsillectomy alone was not sufficient to regulate the progression of IgA nephropathy but might mask the progression of glomerulonephritis.

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