title: Pulmonary hemorrhage with hematuria: do not forget IgA nephropathy.
abstract: IgA nephropathy is the commonest cause of glomerulonephritis worldwide, and is usually a renal-limited disease. In rare cases, IgA nephropathy may also present with a pulmonary-renal syndrome in which pulmonary hemorrhage is a critical feature. Patients presenting with IgA nephropathy and pulmonary hemorrhage have high morbidity and are at high risk for mortality unless rapid immunosuppressive therapy is instituted. We present a case of IgA nephropathy complicated by pulmonary hemorrhage in which immunosuppressive therapy led to a good outcome, and review the literature on similar cases and the outcome of therapy.
authors.affiliation: Department of Medicine , Meharry Medical College , Nashville, TN , USA.
authors.forename: Kemi
authors.initials: K
authors.lastname: Oluwole
authors.affiliation: Department of Medicine , Meharry Medical College , Nashville, TN , USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Esuzor
authors.affiliation: Department of Medicine , Meharry Medical College , Nashville, TN , USA.
authors.forename: Oluwafisayo
authors.initials: O
authors.lastname: Adebiyi
authors.affiliation: Renal Division, Department of Medicine , Meharry Medical College , Nashville, TN , USA.
authors.forename: Chike
authors.initials: C
authors.lastname: Nzerue
authors.affiliation: Renal Division, Department of Medicine , Meharry Medical College , Nashville, TN , USA.
authors.forename: Marquetta
authors.initials: M
authors.lastname: Faulkner
authors.affiliation: Vanderbilt University School of Medicine , Nashville, TN , USA.
authors.forename: Ebele
authors.initials: E
authors.lastname: Umeukeje
authors.affiliation: Department of Pathology , Vanderbilt University School of Medicine , Nashville, TN , USA.
authors.forename: Paisit
authors.initials: P
authors.lastname: Paueksakon
keywords: IgA nephropathy; immunosuppressive therapy; pulmonary hemorrhage