Anti-glomerular basement membrane nephritis following IgA vasculitis in a child: a diagnostic challenge.
Rika Tanaka, Akinori Miyazono, Takuro Mitsunobu et al.
✦ AI-curated · Sources linked
Case in brief
An 8-year-old girl presented with symptoms initially attributed to IgA vasculitis, but further evaluation revealed anti-glomerular basement membrane nephritis. Diagnosis was confirmed through elevated anti-GBM antibodies and kidney biopsy. Despite treatment with plasma exchange and immunosuppressive therapy, her kidney function declined, leading to kidney failure within several months.
Diagnostic / clinical pearl
Clinicians should consider the possibility of rapidly progressive glomerulonephritis in pediatric patients with worsening kidney function during IgA vasculitis follow-up, necessitating serological screening and timely biopsy.