Nephrotic syndrome after insect sting: a case report
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Nefrologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400498 |
Resumo: | ABSTRACT Minimal change disease accounts for up to 25% of the cases of nephrotic syndrome in adult population. The allergic mechanism has been associated with minimal change disease and allergens have been implied, namely insect stings. We present a case report of a woman with new onset of nephrotic syndrome after a non-hymenoptera insect sting, with biopsy-proven minimal change disease, that was accompanied by a pulmonary thromboembolism process. Complete remission with glucocorticoid therapy was observed, with sustained response for 6 months after discontinuation. A new exposure to insect sting in the same geographical region and season triggered a nephrotic syndrome relapse. Subsequent avoidance of the place resulted in a sustained remission for more than 4 years. |
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Nephrotic syndrome after insect sting: a case reportNephrotic syndromeNephrosis, LipoidEdemaInsect Bites and StingsPulmonary EmbolismHypersensitivityABSTRACT Minimal change disease accounts for up to 25% of the cases of nephrotic syndrome in adult population. The allergic mechanism has been associated with minimal change disease and allergens have been implied, namely insect stings. We present a case report of a woman with new onset of nephrotic syndrome after a non-hymenoptera insect sting, with biopsy-proven minimal change disease, that was accompanied by a pulmonary thromboembolism process. Complete remission with glucocorticoid therapy was observed, with sustained response for 6 months after discontinuation. A new exposure to insect sting in the same geographical region and season triggered a nephrotic syndrome relapse. Subsequent avoidance of the place resulted in a sustained remission for more than 4 years.Sociedade Brasileira de Nefrologia2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400498Brazilian Journal of Nephrology v.42 n.4 2020reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-2020-0014info:eu-repo/semantics/openAccessJunqueira,VâniaDonato,BeatrizTeixeira,CatarinaMascarenhas,Maria IsabelSilva,Isabel CostaAlmeida,Edgareng2021-01-19T00:00:00Zoai:scielo:S0101-28002020000400498Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2021-01-19T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false |
dc.title.none.fl_str_mv |
Nephrotic syndrome after insect sting: a case report |
title |
Nephrotic syndrome after insect sting: a case report |
spellingShingle |
Nephrotic syndrome after insect sting: a case report Junqueira,Vânia Nephrotic syndrome Nephrosis, Lipoid Edema Insect Bites and Stings Pulmonary Embolism Hypersensitivity |
title_short |
Nephrotic syndrome after insect sting: a case report |
title_full |
Nephrotic syndrome after insect sting: a case report |
title_fullStr |
Nephrotic syndrome after insect sting: a case report |
title_full_unstemmed |
Nephrotic syndrome after insect sting: a case report |
title_sort |
Nephrotic syndrome after insect sting: a case report |
author |
Junqueira,Vânia |
author_facet |
Junqueira,Vânia Donato,Beatriz Teixeira,Catarina Mascarenhas,Maria Isabel Silva,Isabel Costa Almeida,Edgar |
author_role |
author |
author2 |
Donato,Beatriz Teixeira,Catarina Mascarenhas,Maria Isabel Silva,Isabel Costa Almeida,Edgar |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Junqueira,Vânia Donato,Beatriz Teixeira,Catarina Mascarenhas,Maria Isabel Silva,Isabel Costa Almeida,Edgar |
dc.subject.por.fl_str_mv |
Nephrotic syndrome Nephrosis, Lipoid Edema Insect Bites and Stings Pulmonary Embolism Hypersensitivity |
topic |
Nephrotic syndrome Nephrosis, Lipoid Edema Insect Bites and Stings Pulmonary Embolism Hypersensitivity |
description |
ABSTRACT Minimal change disease accounts for up to 25% of the cases of nephrotic syndrome in adult population. The allergic mechanism has been associated with minimal change disease and allergens have been implied, namely insect stings. We present a case report of a woman with new onset of nephrotic syndrome after a non-hymenoptera insect sting, with biopsy-proven minimal change disease, that was accompanied by a pulmonary thromboembolism process. Complete remission with glucocorticoid therapy was observed, with sustained response for 6 months after discontinuation. A new exposure to insect sting in the same geographical region and season triggered a nephrotic syndrome relapse. Subsequent avoidance of the place resulted in a sustained remission for more than 4 years. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400498 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400498 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2175-8239-jbn-2020-0014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
dc.source.none.fl_str_mv |
Brazilian Journal of Nephrology v.42 n.4 2020 reponame:Jornal Brasileiro de Nefrologia instname:Sociedade Brasileira de Nefrologia (SBN) instacron:SBN |
instname_str |
Sociedade Brasileira de Nefrologia (SBN) |
instacron_str |
SBN |
institution |
SBN |
reponame_str |
Jornal Brasileiro de Nefrologia |
collection |
Jornal Brasileiro de Nefrologia |
repository.name.fl_str_mv |
Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN) |
repository.mail.fl_str_mv |
||jbn@sbn.org.br |
_version_ |
1752122066449989632 |