title: Diabetes mellitus complicated with rapidly progressive glomerulonephritis in an elderly patient.
abstract: An 88-year-old man with a 30-year history of type 2 diabetes and a 3-year history of chronic renal failure was admitted for evaluation of anasarca. On admission, findings of nephrotic syndrome and microscopic hematuria were observed. During the course of therapy, rapid deterioration of renal function occurred with the appearance of pneumonia. Irrespective of the therapy with hemodialysis and antibiotics, he died of respiratory failure. The autopsy showed a rare case of rapidly progressive glomerulonephritis (crescentic glomerulonephritis) superimposed on membranous nephropathy. This experience highlighted the importance of the differential diagnosis of non-diabetic glomerulopathy even in elderly patients with diabetes mellitus.
authors.affiliation: Department of Endocrinology, Tokyo Metropolitan Geriatric Hospital.
authors.forename: Reiko
authors.initials: R
authors.lastname: Nishijima
authors.forename: Atsushi
authors.initials: A
authors.lastname: Araki
authors.forename: Minoru
authors.initials: M
authors.lastname: Ando
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Nemoto
authors.forename: Kenichi
authors.initials: K
authors.lastname: Ohashi
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Yuko
authors.initials: Y
authors.lastname: Chiba
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Horiuchi
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Morio
authors.forename: Motoji
authors.initials: M
authors.lastname: Sawabe
authors.forename: Takayuki
authors.initials: T
authors.lastname: Hosoi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D048909:Diabetes Complications / Q000473:pathology; D018450:Disease Progression; D017809:Fatal Outcome; D005921:Glomerulonephritis / Q000473:pathology; D006801:Humans; D008297:Male; D013997:Time Factors