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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-6-23
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pubmed:abstractText |
This report describes clinical and histopathological findings of a case of a 43-year-old male with granulomatous interstitial nephritis. The patient developed renal failure following renal insufficiency of 4 months duration. The patient presented with lethargy and nocturia. The first renal biopsy revealed granulomatous interstitial nephritis. There was no apparent evidence of a systemic granulomatous disease or drug hypersensitivity. Therapy with reducing regime of prednisolone produced a marked improvement in symptoms and renal function. Relapse occurred 3 months later in association with early discontinuation of the corticosteroid therapy. Ga-scintigraphy demonstrated an abnormal accumulation of gallium in both kidneys. The second renal biopsy did not show the obvious improvement. With the re-administration of the corticosteroid therapy, renal function rapidly improved again. Twelve months after the re-administration of the steroid therapy, Ga-scintigraphy showed no renal uptake. Corticosteroid therapy yielded a favorable outcome for renal function. The third renal biopsy showed disappearance of the granulomas lesion. Re-administration of the corticosteroid therapy continued for 22 months and the patient has not yet relapsed 9 months after the withdrawal of the steroid therapy.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0385-2385
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
213-22
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pubmed:dateRevised |
2011-8-1
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pubmed:meshHeading |
pubmed-meshheading:1588773-Acute Kidney Injury,
pubmed-meshheading:1588773-Adult,
pubmed-meshheading:1588773-Biopsy,
pubmed-meshheading:1588773-Granuloma,
pubmed-meshheading:1588773-Humans,
pubmed-meshheading:1588773-Kidney,
pubmed-meshheading:1588773-Male,
pubmed-meshheading:1588773-Nephritis, Interstitial,
pubmed-meshheading:1588773-Prednisolone
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pubmed:year |
1992
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pubmed:articleTitle |
[A case of granulomatous interstitial nephritis presented reversible renal failure treated with the steroid therapy: repeated renal biopsy case].
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pubmed:affiliation |
Department of Internal Medicine, Yokohama Dai-ichi Hospital, Kanagawa, Japan.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|