Lupus vulgaris with tubercular lymphadenitis and IgA nephropathy.
A 14-year-old girl presented with a 10-year history of a large crusted plaque over the right thigh for 10 years and small reddish plaque over the left upper back for 3 months. On routine evaluation, she was found to have hematuria. Skin biopsy from the lesion was suggestive of skin tuberculosis (lupus vulgaris), and kidney biopsy showed features of IgA nephropathy (IgAN). Fine-needle aspiration from the inguinal lymph node was consistent with granulomatous disease. The patient has been on anti-tubercular treatment, and the hematuria has subsided.
Khaira
Ambar
A
Department of Nephrology, All India Institute of Medical Sciences, New Delhi, India.
Rathi
Om P
OP
Mahajan
Sandeep
S
Sharma
Alok
A
Dinda
Amit K
AK
Tiwari
Suresh C
SC
D000293:Adolescent; D005260:Female; D005922:Glomerulonephritis, IGA / Q000209:etiology* / Q000473:pathology; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008177:Lupus Vulgaris / Q000150:complications* / Q000473:pathology; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000473:pathology