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A Case of Idiopathic Crescentic Glomerulonephritis

Journal of the Korean Pediatric Society 1996;39(1):131-135.
Published online January 15, 1996.
A Case of Idiopathic Crescentic Glomerulonephritis
Jung Keum Park, Sang Il Goo, Woo Yeong Chung, Chul Ho Kim
Department of Pediatrics, College of Medicine, Inje University Pusan Paik Hospital, Pusan, Korea
특발성 반월형 사구체신염 1례
박정금, 구상일, 정우영, 김철호
인제대학교 의과대학 부산백병원 소아과학교실
Abstract
We experienced a case of idiopathic crescentic glomerulonephritis in a 10-year-old girl who was admitted to our hospital due to gross hematuria and oliguria for 2 months. The diagnosis was based on the rapidly progressive clinical course to chronic renal failure, positive p-ANCA test and light microscopic findings of diffuse crescents formation in about 80% glomeruli of renal tissue obtained by percutaneous renal biopsy. Our case was treated with high dose methylprednisolone ( 30mg/Kg) pulse therapy whenever its clinical course was aggravated for several times. After 2 years 6months later, she has been treated on peritoneal dialysis. A review of literatures was also presented briefly.
Key Words: Idiopathic crescentic glomerulonephritis, Methylprednisolone pulse therapy


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