A case of granulomatous tubulointerstitial nephritis in a patient with pulmonary sarcoidosis

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A clinical observation is presented of a patient with pulmonary sarcoidosis, who was diagnosed with kidney damage after three years with the development of chronic renal failure and the need for replacement therapy. A histological examination of the renal biopsy revealed a granulomatous process in the interstitial tissue, which was regarded as an extrapulmonary manifestation of sarcoidosis. Pulse therapy with glucocorticoids was prescribed and an attempt was made to reduce hemodialysis sessions.

作者简介

Leonid Dvoretsky

Sechenov First Moscow State Medical University (Sechenov University)

编辑信件的主要联系方式.
Email: dvoretski@mail.ru
ORCID iD: 0000-0003-3186-0102

д.м.н., проф., зав. каф. госпитальной терапии №2

俄罗斯联邦, Moscow

Sergei Krivushkin

Yudin City Clinical Hospital

Email: dvoretski@mail.ru
ORCID iD: 0000-0003-0294-6257

зав. нефрологическим отд-нием

俄罗斯联邦, Moscow

Ekaterina Stolyarevich

City Clinical Hospital №52

Email: dvoretski@mail.ru
ORCID iD: 0000-0002-0402-8348

врач патологоанатомического отд-ния

俄罗斯联邦, Moscow

Elizaveta Skrynnikova

Sechenov First Moscow State Medical University (Sechenov University)

Email: dvoretski@mail.ru
ORCID iD: 0000-0002-9039-1070

студентка 6-го курса

俄罗斯联邦, Moscow

Andrey Stepanchenko

Yudin City Clinical Hospital

Email: dvoretski@mail.ru
ORCID iD: 0000-0001-5655-2929

 к.м.н., зав. рентгенологическим отд-нием

俄罗斯联邦, Moscow

Svetlana Kolendo

Sechenov First Moscow State Medical University (Sechenov University)

Email: dvoretski@mail.ru
ORCID iD: 0000-0002-1368-1605

доц. каф. госпитальной терапии №2

俄罗斯联邦, Moscow

参考

  1. FGBI «Institute of Pulmonology», et al. DiagnosIs and treatment of sarcoIdosis. summary of federal concilIative clinical recommendations. Part I. classification, etiopathogenesis, clinic. Bull. Contemp. Clin Med. 2014;7:62-70. doi: 10.20969/VSKM.2014.7(4).62-70
  2. Berliner A, Haas M, Choi J. Sarcoidosis: The Nephrologist’s Perspective. Am J Kidney Dis. 2006;48:856-70. doi: 10.1053/ j.ajkd.2006.07.022
  3. Bergner R, Löffler C. Renal sarcoidosis: approach to diagnosis and management. Curr Opin Pulm Med. 2018;24:513-20. doi: 10.1097/MCP.0000000000000504
  4. Naderi S, Amann K, Janssen U. Renal involvement in sarcoidosis: Histologic findings and clinical course. Nephrol. Point Care. 2019;5:1-7. doi: 10.1177/2059300719834928
  5. Stehlé T, Joly D, Vanhille Ph, et al. Clinicopathological study of glomerular diseases associated with sarcoidosis: a multicenter study. Orphan J Rare Dis. 2013;8(65):2-10. doi: 10.1186/1750-1172-8-65
  6. Robson M, Banerjee D, Hopster D, Cairns H. Seven cases of granulomatous interstitial nephritis in the absence of extrarenal sarcoid. Nephrol Dialys Transplant. 2003;18(2):280-4. doi: 10.1093/ndt/18.2.280
  7. Mahévas M, Lescure F, Boffa J, et al. Renal Sarcoidosis: Clinical, Laboratory, and Histologic Presentation and Outcome in 47 Patients. Medicine (Baltimore). 2009;88(2):98-106. doi: 10.1097/MD.0b013e31819de50f
  8. Mahfoudhi M, Mamlouk H, Turki S, Kheder A. Systemic sarcoidosis complicated of acute renal failure: about 12 cases. Pan African Med J. 2015;22:75. doi: 10.11604/pamj.2015.22.75.6237

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