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Mesangial proliferative glomerulonephritis in familial Mediterranean fever patient with E148Q mutation: the first case report
Authors:Eray Eroglu  Ismail Kocyigit  Ozturk Ates  Aydin Unal  Murat Hayri Sipahioglu  Hulya Akgun  Bulent Tokgoz  Oktay Oymak
Institution:1. Department of Internal Medicine, Erciyes University Medical School, Kayseri, Turkey
4. Organ Nakli ve Diyaliz Hastanesi, Erciyes üniversitesi T?p Fakültesi, Talas Yolu üzeri, 38039, Kayseri, Turkey
2. Department of Nephrology, Erciyes University Medical School, Kayseri, Turkey
3. Department of Pathology, Erciyes University Medical School, Kayseri, Turkey
Abstract:Familial Mediterranean fever (FMF) is an autosomal recessive hereditary disease characterized by recurrent attacks of fever, usually accompanied by sterile polyserositis. Although amyloidosis is the most common renal involvement, non-amyloid renal lesions, such as glomerulonephritis, have been described in patients with FMF. In this report, we present the first case of an FMF patient with heterozygous mutation of E148Q, mesangial proliferative glomerulonephritis, and no amyloidosis. While the association of mutation E148Q with renal involvement is still obscure, colchicine treatment is useful in mesangial proliferative glomerulonephritis with FMF.
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