Spontaneous remission of nephrotic syndrome in patients with IgA nephropathy

SeungHyeok Han, Ea Wha Kang, Jeong Kyung Park, Jeong Hae Kie, Dae Suk Han, Shin-Wook Kang

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background. IgA nephropathy (IgAN) can be complicated by nephrotic syndrome. Because the spontaneous resolution of heavy proteinuria is rare, corticosteroid therapy should be considered in such cases, particularly when IgAN is combined with minimal-change disease. Here, we report our experience of spontaneous remission of nephrotic syndrome in patients with IgAN and the long-term outcomes of these patients.Methods. Two hundred and thirty-three patients with biopsy-proven IgAN were enrolled between January 2001 and March 2009. Demographic, clinical and laboratory data were collected retrospectively based on medical records. In addition, pathologic findings were reviewed for glomerular and tubulointerstitial lesions. Outcome data for complete or partial remission, spontaneous remission, relapse, deterioration of renal function, and end-stage renal disease were recorded.Results. Twenty-four patients (10.3%) presented nephrotic syndrome. Among them, five patients underwent spontaneous remission within 6 months after the presentation of nephrotic syndrome. Interestingly, spontaneous remission occurred even in two patients who had elevated serum creatinine levels and advanced renal damage. During follow-up, neither recurrence nor relapse occurred, and no patients showed progressive deterioration of kidney function.Conclusions. This study suggests that spontaneous remission of nephrotic syndrome may occur in any stage of IgAN and carries a favourable long-term outcome without relapse. Given the possibility of under-reported cases, large-scale studies are required, and careful attention should be paid to such complicated cases.

Original languageEnglish
Pages (from-to)1570-1575
Number of pages6
JournalNephrology Dialysis Transplantation
Volume26
Issue number5
DOIs
Publication statusPublished - 2011 May 1

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Spontaneous Remission
Nephrotic Syndrome
Immunoglobulin A
Recurrence
Kidney
Lipoid Nephrosis
Proteinuria
Chronic Kidney Failure
Medical Records
Creatinine
Adrenal Cortex Hormones
Demography
Biopsy
Serum

All Science Journal Classification (ASJC) codes

  • Nephrology
  • Transplantation

Cite this

Han, SeungHyeok ; Kang, Ea Wha ; Park, Jeong Kyung ; Kie, Jeong Hae ; Han, Dae Suk ; Kang, Shin-Wook. / Spontaneous remission of nephrotic syndrome in patients with IgA nephropathy. In: Nephrology Dialysis Transplantation. 2011 ; Vol. 26, No. 5. pp. 1570-1575.
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Spontaneous remission of nephrotic syndrome in patients with IgA nephropathy. / Han, SeungHyeok; Kang, Ea Wha; Park, Jeong Kyung; Kie, Jeong Hae; Han, Dae Suk; Kang, Shin-Wook.

In: Nephrology Dialysis Transplantation, Vol. 26, No. 5, 01.05.2011, p. 1570-1575.

Research output: Contribution to journalArticle

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