Tonsillar focal infectious disease involving IgA nephropathy, pustulosis, and ossification.
We report a rare case of IgA nephropathy (IgAN), that was considered as showing tonsillar focal infection, involving pulmoplantar pustulosis (PPP), and sternocostoclavicular hyperosteosis (SCCH). A 53-year-old man with a 3-year history of PPP had hematuria and proteinuria, and he sometimes had anterior chest pain. He was also diagnosed with IgAN and SCCH. We performed tonsillectomy as a treatment. The tonsillectomy was done with the patient under general anesthesia, and this treatment was followed by steroid therapy. Interestingly, all the symptoms of IgAN, PPP, and SCCH were alleviated 6 months after the tonsillectomy. Thus, tonsillectomy and steroid therapy may be effective and could be considered as treatment for these diseases.
Noda
Kenji
K
Department of Otolaryngology, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hazama-machi, Yufu, Oita 879-5593, Japan.
Kodama
Satoru
S
Suenaga
Satoshi
S
Suzuki
Masashi
M
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005490:Focal Infection / Q000150:complications* / Q000628:therapy; D005922:Glomerulonephritis, IGA / Q000150:complications* / Q000628:therapy; D006801:Humans; D015218:Hyperostosis, Sternocostoclavicular / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D011565:Psoriasis / Q000150:complications* / Q000628:therapy; D014068:Tonsillectomy; D014069:Tonsillitis / Q000150:complications* / Q000628:therapy
D000893:Anti-Inflammatory Agents; D011239:Prednisolone