Full-house nephropathy unrelated to lupus: a case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Health Residencies Journal (HRJ) |
Texto Completo: | https://escsresidencias.emnuvens.com.br/hrj/article/view/174 |
Resumo: | Introduction: The systemic lupus erythematosus (SLE) is a chronic multisystemic autoimmune inflammatory disease. Some patients, however, may exhibit a histological pattern of renal injury, with characteristics indistinguishable from lupus nephritis, but without presenting any extra renal symptoms or suggestive SLE serology. Such involvement has recently been called full-house nephropathy unrelated to lupus Description: P.M.G., 19 years old, female, single. She presented endemogenic syndrome associated with hypertension with proteinuria in the nephrotic range and changes in renal function in laboratory tests. It was investigated for the possibility of SLE without filling clinical and laboratory criteria. During hospitalization, she was submitted to renal biopsy with a pattern compatible with full-house nephropathy. She was submitted to pulse therapy with Cyclophosphmide with total recovery of renal function and today she is monitored on the use of corticoid therapy. Conclusions: Full-house nephropathy not related to lupus is a new entity, not yet fully understood the mechanisms of action and therapeutic approach. It still needs further studies and may be the initial manifestation of SLE, isolated manifestation of SLE or a new disease not related to SLE. |
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Full-house nephropathy unrelated to lupus: a case reportNefropatia full-house não relacionada ao lúpus: um relato de casoPalavras-chave: Nefropatia full-house, Lúpus Eritematoso Sistêmico, Nefropatia não relacionada ao Lúpus, Síndrome Nefrótica.Keywords: full-house nephropathy, systemic lupus erythematosus, non-lupus-related nephropathy, nephrotic syndromeIntroduction: The systemic lupus erythematosus (SLE) is a chronic multisystemic autoimmune inflammatory disease. Some patients, however, may exhibit a histological pattern of renal injury, with characteristics indistinguishable from lupus nephritis, but without presenting any extra renal symptoms or suggestive SLE serology. Such involvement has recently been called full-house nephropathy unrelated to lupus Description: P.M.G., 19 years old, female, single. She presented endemogenic syndrome associated with hypertension with proteinuria in the nephrotic range and changes in renal function in laboratory tests. It was investigated for the possibility of SLE without filling clinical and laboratory criteria. During hospitalization, she was submitted to renal biopsy with a pattern compatible with full-house nephropathy. She was submitted to pulse therapy with Cyclophosphmide with total recovery of renal function and today she is monitored on the use of corticoid therapy. Conclusions: Full-house nephropathy not related to lupus is a new entity, not yet fully understood the mechanisms of action and therapeutic approach. It still needs further studies and may be the initial manifestation of SLE, isolated manifestation of SLE or a new disease not related to SLE. Introdução: O lúpus eritematoso sistêmico (LES) é uma doença inflamatória crônica autoimune multissistêmica. Alguns pacientes, contudo, podem exibir um padrão histológico de lesão renal, com características indistinguíveis da nefrite lúpica, porém sem apresentar quaisquer sintomas extrarrenais ou sorologias sugestivas de LES. Tal acometimento tem sido recentemente denominado nefropatia full-house não relacionada ao lúpus. Descrição: P.M.G., 19 anos, feminino, solteira. Apresentou quadro de síndrome edemigênica associada à hipertensão com proteinúria em faixa nefrótica e alterações de função renal em exames laboratoriais. Foi investigada quanto à possibilidade de LES sem preencher critérios clínicos e laboratoriais. Durante a internação foi submetida à biópsia renal com padrão compatível com nefropatia full-house sendo realizada pulsoterapia com Ciclofosfamida com recuperação total da função renal e, atualmente, mantem acompanhamento em uso de corticoterapia. Conclusões: A Nefropatia full-house não relacionada ao lúpus é uma entidade nova, ainda não totalmente compreendida em seus mecanismos de ação e abordagem terapêutica. Ainda necessita de mais estudos e pode se apresentar como uma manifestação inicial do LES, manifestação isolada do LES ou uma doença nova não relacionada ao LES.Escola Superior de Ciências da Saúde2021-04-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://escsresidencias.emnuvens.com.br/hrj/article/view/17410.51723/hrj.v2i11.174Health Residencies Journal - HRJ; v. 2 n. 11 (2021): Cuidados Paliativos: desafios e oportunidades; 1-62675-2913reponame:Health Residencies Journal (HRJ)instname:Escola Superior de Ciências da Saúde (ESCS)instacron:ESCSporhttps://escsresidencias.emnuvens.com.br/hrj/article/view/174/141Copyright (c) 2021 Louise Cristhine de Carvalho Santos, Phelipe Pinheiro Alves Lucas, Dilson Palhares Ferreirahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessde Carvalho Santos, Louise CristhinePinheiro Alves Lucas , Phelipe Palhares Ferreira, Dilson2023-03-17T18:07:34Zoai:ojs.emnuvens.com.br:article/174Revistahttps://escsresidencias.emnuvens.com.br/hrjPUBhttps://escsresidencias.emnuvens.com.br/hrj/oaihrj@escs.edu.br || vanessacampos@escs.edu.br2675-29132675-2913opendoar:2023-03-17T18:07:34Health Residencies Journal (HRJ) - Escola Superior de Ciências da Saúde (ESCS)false |
dc.title.none.fl_str_mv |
Full-house nephropathy unrelated to lupus: a case report Nefropatia full-house não relacionada ao lúpus: um relato de caso |
title |
Full-house nephropathy unrelated to lupus: a case report |
spellingShingle |
Full-house nephropathy unrelated to lupus: a case report de Carvalho Santos, Louise Cristhine Palavras-chave: Nefropatia full-house, Lúpus Eritematoso Sistêmico, Nefropatia não relacionada ao Lúpus, Síndrome Nefrótica. Keywords: full-house nephropathy, systemic lupus erythematosus, non-lupus-related nephropathy, nephrotic syndrome |
title_short |
Full-house nephropathy unrelated to lupus: a case report |
title_full |
Full-house nephropathy unrelated to lupus: a case report |
title_fullStr |
Full-house nephropathy unrelated to lupus: a case report |
title_full_unstemmed |
Full-house nephropathy unrelated to lupus: a case report |
title_sort |
Full-house nephropathy unrelated to lupus: a case report |
author |
de Carvalho Santos, Louise Cristhine |
author_facet |
de Carvalho Santos, Louise Cristhine Pinheiro Alves Lucas , Phelipe Palhares Ferreira, Dilson |
author_role |
author |
author2 |
Pinheiro Alves Lucas , Phelipe Palhares Ferreira, Dilson |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
de Carvalho Santos, Louise Cristhine Pinheiro Alves Lucas , Phelipe Palhares Ferreira, Dilson |
dc.subject.por.fl_str_mv |
Palavras-chave: Nefropatia full-house, Lúpus Eritematoso Sistêmico, Nefropatia não relacionada ao Lúpus, Síndrome Nefrótica. Keywords: full-house nephropathy, systemic lupus erythematosus, non-lupus-related nephropathy, nephrotic syndrome |
topic |
Palavras-chave: Nefropatia full-house, Lúpus Eritematoso Sistêmico, Nefropatia não relacionada ao Lúpus, Síndrome Nefrótica. Keywords: full-house nephropathy, systemic lupus erythematosus, non-lupus-related nephropathy, nephrotic syndrome |
description |
Introduction: The systemic lupus erythematosus (SLE) is a chronic multisystemic autoimmune inflammatory disease. Some patients, however, may exhibit a histological pattern of renal injury, with characteristics indistinguishable from lupus nephritis, but without presenting any extra renal symptoms or suggestive SLE serology. Such involvement has recently been called full-house nephropathy unrelated to lupus Description: P.M.G., 19 years old, female, single. She presented endemogenic syndrome associated with hypertension with proteinuria in the nephrotic range and changes in renal function in laboratory tests. It was investigated for the possibility of SLE without filling clinical and laboratory criteria. During hospitalization, she was submitted to renal biopsy with a pattern compatible with full-house nephropathy. She was submitted to pulse therapy with Cyclophosphmide with total recovery of renal function and today she is monitored on the use of corticoid therapy. Conclusions: Full-house nephropathy not related to lupus is a new entity, not yet fully understood the mechanisms of action and therapeutic approach. It still needs further studies and may be the initial manifestation of SLE, isolated manifestation of SLE or a new disease not related to SLE. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-04-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://escsresidencias.emnuvens.com.br/hrj/article/view/174 10.51723/hrj.v2i11.174 |
url |
https://escsresidencias.emnuvens.com.br/hrj/article/view/174 |
identifier_str_mv |
10.51723/hrj.v2i11.174 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://escsresidencias.emnuvens.com.br/hrj/article/view/174/141 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Escola Superior de Ciências da Saúde |
publisher.none.fl_str_mv |
Escola Superior de Ciências da Saúde |
dc.source.none.fl_str_mv |
Health Residencies Journal - HRJ; v. 2 n. 11 (2021): Cuidados Paliativos: desafios e oportunidades; 1-6 2675-2913 reponame:Health Residencies Journal (HRJ) instname:Escola Superior de Ciências da Saúde (ESCS) instacron:ESCS |
instname_str |
Escola Superior de Ciências da Saúde (ESCS) |
instacron_str |
ESCS |
institution |
ESCS |
reponame_str |
Health Residencies Journal (HRJ) |
collection |
Health Residencies Journal (HRJ) |
repository.name.fl_str_mv |
Health Residencies Journal (HRJ) - Escola Superior de Ciências da Saúde (ESCS) |
repository.mail.fl_str_mv |
hrj@escs.edu.br || vanessacampos@escs.edu.br |
_version_ |
1797051239276478464 |