Korean J Nephrol.  1999 May;18(3):483-487.

A Case of Chronic Renal Failure, Caused by IgA Nephropathy Combined with Polycythemia Vera

• Kwon MY
• Eom HS
• Lee SW
• Kim MJ
• Kim TS
• Kwon KH

Abstract

Patients with chronic renal failure, generally, sufferred from normocytic normochromic anemia caused by decreased level of erythropoietin. But, secondary erythrocytosis has been reported in patients with several renal diseases; renal artery stenosis or throm- bosis, polycystic kidney disease, bilateral hydronephrosis, etc. We report one case of chronic renal failure combined with polycythemia vera. The case was 32 year-old man whose chief complaints were dyspnea, back pain, itching sensation, headache. 6 month ago, the laboratory examination showed only proteinuria and hematuria without deterioration of renal function. The renal function was aggravated with an accelerated course, and bone marrow examination revealed hypercellularity (erythroid predominance), and renal biopsy showed the finding of the end stage of renal disease which may be originated from IgA nephropathy.

Keyword

Chronic renal failure; Erythropoietin; Polycythemia vera; Erythrocytosis; IgA nephropathy

MeSH Terms

Adult
Anemia
Back Pain
Biopsy
Bone Marrow Examination
Dyspnea
Erythropoietin
Glomerulonephritis, IGA*
Headache
Hematuria
Humans
Hydronephrosis
Immunoglobulin A*
Kidney Failure, Chronic*
Polycystic Kidney Diseases
Polycythemia Vera*
Polycythemia*
Proteinuria
Pruritus
Renal Artery Obstruction
Sensation
Erythropoietin
Immunoglobulin A