Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2019  |  Volume : 30  |  Issue : 1  |  Page : 221--225

IgA nephropathy: Missed diagnosis and renal transplant


Abeer Shaker Al-Moursy Ali1, Nasir A Al-Subai2, Ahmed Y Shebly2, Hatem Q Al-Maghraby3, Wesam Ahmed Nasif4 
1 Department of Pathology, Faculty of Medicine, Umm Al-Qurra University, Mecca, Saudi Arabia
2 Medical Student, Faculty of Medicine, Umm Al-Qurra University, Mecca, Saudi Arabia
3 Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City, Jeddah, Saudi Arabia
4 Department of Biochemistry, Faculty of Medicine, Umm Al-Qurra University, Mecca, Saudi Arabia

Correspondence Address:
Wesam Ahmed Nasif
Department of Biochemistry, Faculty of Medicine, Umm Al-Qurra University, Mecca
Saudi Arabia

The most common form of chronic glomerulonephritis worldwide is IgA nephropathy (IgAN) where IgA immune complexes are deposited in the glomeruli. About 40%–45% of patients with IgAN present with macroscopic hematuria. Diagnosis occurs through kidney biopsy to visualize IgA deposition in the glomerular mesangial area using immunofluorescence microscopy. We presented a 21-year-old patient referred to the nephrology department for follow-up after renal transplantation. His condition started at the age of nine-year with macroscopic hematuria. At the age of 14 years, he presented with hematuria and serum creatinine of 62 umol/L and was diagnosed with acute cystitis. At the age of 18 years, the patient was admitted with generalized fatigue, muscle cramps, and gross hematuria. Kidney biopsy showed advanced glomerulosclerorosis and IgAN with mesangial hypercellularity. The patient was started on peritoneal dialysis for four months following which he underwent kidney transplant from a nonrelative living donor.


How to cite this article:
Al-Moursy Ali AS, Al-Subai NA, Shebly AY, Al-Maghraby HQ, Nasif WA. IgA nephropathy: Missed diagnosis and renal transplant.Saudi J Kidney Dis Transpl 2019;30:221-225


How to cite this URL:
Al-Moursy Ali AS, Al-Subai NA, Shebly AY, Al-Maghraby HQ, Nasif WA. IgA nephropathy: Missed diagnosis and renal transplant. Saudi J Kidney Dis Transpl [serial online] 2019 [cited 2021 Oct 28 ];30:221-225
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2019;volume=30;issue=1;spage=221;epage=225;aulast=Al-Moursy;type=0