COVID-19, glomerulonefritis ANCA y anti-membrana basal glomerular. Caso clínico



Título del documento: COVID-19, glomerulonefritis ANCA y anti-membrana basal glomerular. Caso clínico
Revue: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000455006
ISSN: 0034-9887
Autores: 1
1
1
2
Instituciones: 1Clínica Indisa, Santiago de Chile. Chile
2Merkén Biotech, Santiago de Chile. Chile
Año:
Periodo: Jun
Volumen: 150
Número: 6
Paginación: 828-831
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en inglés Renal involvement in COVID-19 infection is varied and worsens its outcome and prognosis. However, the association of COVID-19 infection with glomerulonephritis is exceptional. We report a 46-year-old woman with COVID-19 who had an acute kidney injury and ANCA associated glomerulonephritis two weeks after the onset of the disease. The kidney biopsy showed a crescentic glomerulo-nephritis and the presence of anti-glomerular basement membrane antibodies (GBM-Abs). She was treated with steroids and oral cyclophosphamide with good response without requiring plasmapheresis. Plasma anti GBM-Abs were negative. This case suggests that the presence of anti-GBM-Abs in the kidney, was temporally related to COVID-19 pulmonary damage. The absence of plasma antibodies is probably due to transient production and glomerular adsorption, but with unknown pathogenic role
Disciplinas: Medicina
Palabras clave: Nefrología,
Inmunología,
Anticuerpos citoplásmicos antineutrófilos,
Enfermedad anti-glomerular de la membrana basal,
COVID-19,
Glomerulonefritis,
Plasmaféresis
Keyword: Nephrology,
Immunology,
Antineutrophil cytoplasmic antibodies,
Anti-glomerular basement membrane disease,
COVID-19,
Glomerulonephritis,
Plasmapheresis
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