Co-occurrence of poststreptococcal reactive arthritis and acute glomerulonephritis.
We report a 16-year-old patient who developed concurrent poststreptococcal reactive arthritis and acute glomerulonephritis. A high titer of antistreptolysin O antibody confirmed the preceding streptococcal infection. The patient presented with symmetric persistent tenosynovitis of hands and feet. Renal biopsy showed typical findings of acute glomerulonephritis with crescent formation. Physicians who treat patients with arthritis of acute onset, especially after throat infection, should be aware of possible urinary abnormalities or renal dysfunction.
Tokura
Takehiko
T
Division of Nephrology and Rheumatology, Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan.
Morita
Yoshitaka
Y
Yorimitsu
Daisuke
D
Horike
Hideyuki
H
Sasaki
Tamaki
T
Kashihara
Naoki
N
D000293:Adolescent; D016918:Arthritis, Reactive / Q000150:complications* / Q000473:pathology; D001426:Bacterial Proteins / Q000097:blood; D005921:Glomerulonephritis / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D013290:Streptococcal Infections / Q000150:complications*; D013297:Streptococcus pyogenes / Q000276:immunology; D013301:Streptolysins / Q000097:blood; D013717:Tenosynovitis / Q000473:pathology
D001426:Bacterial Proteins; D013301:Streptolysins; C025964:streptolysin O