J Korean Soc Transplant.  2010 Jun;24(2):110-113. 10.4285/jkstn.2010.24.2.110.

A Case of Lupus-Like Syndrome after Kidney Transplantation

• Na HH
• Hong SW
• Kim MC
• Park SH
• Yoon YC

• KMID: 1457135
• DOI: http://doi.org/10.4285/jkstn.2010.24.2.110

Abstract

Systemic erythematous lupus is a systemic inflammatory autoimmune disease that develops from drug, viral, or chemical irritants. We report a case of lupus-like syndrome after kidney transplantation with an unknown cause. A 55-year-old woman was admitted with severe myalgia, fever, and arthralgia 2 days previously. She had received a kidney transplantation 8 years ago, because an acute kidney injury had progressed to chronic kidney disease. After transplantation, she had no problems. We performed blood, urine, and sputum cultures but could found no microorganisms. We suspected a connective tissue disease, such as adult Still's disease, and performed autoantibody testing. As a result, antinuclear antibody was positive, and we diagnosed her with lupus-like syndrome due to an unknown cause. We increased the prednisolone dose and her symptoms improved.

Keyword

Systemic lupus erythematosus; Connective tissue diseases; Kidney transplantation

MeSH Terms

Acute Kidney Injury
Adult
Antibodies, Antinuclear
Arthralgia
Autoimmune Diseases
Connective Tissue Diseases
Female
Fever
Humans
Irritants
Kidney
Kidney Transplantation
Lupus Erythematosus, Systemic
Middle Aged
Prednisolone
Renal Insufficiency, Chronic
Sputum
Transplants
Antibodies, Antinuclear
Irritants
Prednisolone

Reference

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