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 CASE REPORT
Year : 2019  |  Volume : 29  |  Issue : 2  |  Page : 140-142

Primary membranous glomerulonephritis-associated with schistosomal nephropathy


1 Internal Medicine Department-Nephrology Unit, Assiut University Hospital, Egypt
2 Internal Medicine Department-Nephrology Unit, Assiut University Hospital, Egypt; Department of Nephrology, University of Heidelberg, Heidelberg, Germany
3 Department of Pathology, Beni Seuf University, Beni Seuf, Egypt

Correspondence Address:
Walaa Hosny Mohammad Ibrahim
Internal Medicine Department-Nephrology Unit, Assiut University Hospital, Assiut
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijn.IJN_7_18

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The association of bilharziasis with membranous nephropathy (MN) has long been debated. The relatively recent use of antibodies against the M-type phospholipase A2 receptor (PLA2R) has been proposed as a valuable tool to discriminate the idiopathic from secondary MNs. Anti-PLA2R antibodies are found in sera from about 70% of iMN patients, in contrast to patients with secondary MN, in whom serum anti-PLA2R antibodies could not be detected. In the current case report, we detected anti-PLA2R antibodies both in serum and renal biopsy from a patient with MN associated with Schistosoma mansoni. This finding confirms the idiopathic nature of the MN and excludes schistosomiasis as the triggering agent of MN. After treating bilharziasis, Ponticelli regimen was initiated without a significant improvement.






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Indian Journal of Nephrology
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Online since 20th Sept '07