[Idiopathic membranous nephropathy in an elderly patient with type 2 diabetes mellitus].
We report an 85 years-old patient with type 2 diabetes mellitus and both clinical and biochemical nephrotic syndrome. The renal biopsy showed membranous nephropathy at stage I-II. There was no evidence of malignancy. The patient was treated with steroids, and two months later the proteinuria had not improved. The objects under discussion are the factors that should lead to suspect the existence of glomerulonephritis, other than diabetic glomerulosclerosis, suggesting the need for kidney biopsy. We also focus on the prognostic and therapeutic relevance, as well as on the common pathogenic aspects.
Costero
O
O
Servicio de Nefrología Hospital La Paz Paseo de la Castellana, 261 28046 Madrid. costerof@jazzfree.com
Díaz
C
C
de Alvaro
F
F
Torre
A
A
Gil
F
F
Picazo
M L
ML
Martínez-Ara
J
J
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000369:Aged, 80 and over; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D001160:Arterioles / Q000473:pathology; D001706:Biopsy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003928:Diabetic Nephropathies / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004232:Diuretics / Q000627:therapeutic use; D004487:Edema / Q000209:etiology; D005920:Glomerular Mesangium / Q000473:pathology; D015433:Glomerulonephritis, Membranous / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007672:Kidney Cortex / Q000473:pathology; D008297:Male; D010996:Pleural Effusion / Q000209:etiology; D011507:Proteinuria / Q000209:etiology
D000305:Adrenal Cortex Hormones; D000806:Angiotensin-Converting Enzyme Inhibitors; D004232:Diuretics