류마티스 관절염 환자에서 Bucillamine에 의한 신병증 1례

• 영문명: Bucillamine-induced Nephropathy in a Patient with Rheumatoid Arhtritis
• 발행기관: 조선대학교 의학연구원
• 저자명: 남경민(Kyung Min Nam) 박장호(Jang Ho Park) 변상환(Sang Hwan Byun) 조영선(Young Sun Jo) 김현주(Hyun Ju Kim)
• 간행물 정보: 『The Medical Journal of Chosun University』제39권 제4호, 313~317쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.12.31

영문 초록

There are many known renal complications of rheumatoid arthritis. These complications can develop by the extraarticular aspect of rheumatoid arthritis or the use of disease modifying antirheumatic drugs or pain-killer. The most common renal disease induced by use of disease modifying antirheumatic drugs is membranous nephropathy. We report on a case of bucillamine induced nephropathy with prominent proteinuria and hypoalbuminemia. The renal biopsy result was stage I to II membranous nephropathy. After withdrawal of bucillamine the proteinuria improved and hypoalbuminemia recovered. Even in cases of accompanying prominent proteinuria and hypoalbuminemia, bucillamine nephropathy can be treated with withdrawal of bucillamine and immunosuppressant drugs are not required.

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키워드

Bucillamine Nephropathy Membranous nephropathy Rheumatoid arthritis Proteinuria