2015年1月29日星期四

Patient with IgA nephropathy

1. Medium patient

Name: Nursuhai lah

Sex: female

Age: 23years

Nationality: Malaysia

Disease: IgA nephropathy

Ddebido to "intermittent gross hematuria five years," At March 20, 2012 came to our hospital. Five years ago, after patient had flu and fever occurred macroscopic hematuria, tried locally, conventional hospital urine showed: urinary protein (++), occult blood (+++), examination of renal biopsy (specific outcome unknown renal biopsy) diagnosis is "IgA nephropathy," also found that blood pressure 139 / 100mmHg, used losartan potassium then control blood pressure irbesartan in 2010 after he mediated blood pressure, it is normal , stopped taking medicine now normal blood pressure. In five years, often occurió had gross hematuria after flu 3-4 days, edema of both lower extremities, urine bubble over.

Patient intermittent used homeopathy (specifically unknown) and acupuncture treatment effect is not obvious, did not use hormones and immunosuppressive therapy. 2 years, occasionally patient felt pain in joints and malestó, was relieved after resting. A week ago, the patient had flu again, with fever, cough, sputum and other symptoms, and gross hematuria occurred, no other disease history, had no history of drug allergy, had no family history of renal disease.

The test came to hospital:

Conventional blood: Hb 145g / L, WBC 10.8 * 10 ^ 9, PLT 336 * 10 ^ 9 / L

protein excretion in urine 24 hours: 1.95g

blood lipids: TG 2.07mmol / L, CHOL 5.93mmol / L, LDL-C 3.92mmol / L

renal function: Cr 110umol / L, Bun 5.3mmol / L, UA 448umol / L

Condition Treatment: For Micro-Chinese Medicine and oral medicine, oral prednisone prednisone, 1 time / day, oral Tripterygium glycosides 20mg 3 times / day, oral allopurinol 0.1 1 time / day etc, during hospitalization a month, edema of both lower extremities disappeared. Creatinine Patient: 107umol / L, urine protein excretion 24 hours: 0.7g, patient had good appetite and sleep.

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