Idiopathic Membranoproliferative Glomerulonephritis, Leukocytoclastic Vasculitis: A Case Report on a 67-Year-Old Female with Chronic Sinusitis
Elana Tompkins *
Willis-Knighton Outpatient Renal Dialysis, Shreveport, LA, USA.
Iza David Zabaneh
Willis-Knighton Outpatient Renal Dialysis, Shreveport, LA, USA.
Emile D. Zabaneh
Willis-Knighton Outpatient Renal Dialysis, Shreveport, LA, USA.
Venkata S. Thammineni
Willis-Knighton Outpatient Renal Dialysis, Shreveport, LA, USA.
Mark E. Tompkins
Willis-Knighton Outpatient Renal Dialysis, Shreveport, LA, USA.
Raja Zabaneh
Willis-Knighton Outpatient Renal Dialysis, Shreveport, LA, USA.
*Author to whom correspondence should be addressed.
Abstract
This case report is about a 67-year-old female patient who presented with an unusual case of acute renal failure and leukocytoclastic vasculitis. The patient required emergency dialysis; an ultrasound-guided kidney biopsy revealed membranoproliferative glomerulonephritis type one, a condition where the immune system damages both the membrane and the mesangium of the glomerulus. This condition was treated with therapeutic plasma exchange, pulse steroid therapy, and Rituxan, which lowered creatinine levels and stimulated greater urine output. These treatments resulted in attaining acceptable creatinine levels and the patient’s subsequent discharge from the facility.
Keywords: Idiopathic, membranoproliferative, glomerulonephritis, cryoglobulinemia, vasculitis