Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Diabetes Mellitus Complicated with Rapidly Progressive Glomerulonephritis in an Elderly Patient
Reiko NISHIJIMAAtsushi ARAKIMinoru ANDOTetsuo NEMOTOKenichi OHASHIYoshio KOBAYASHIYuko CHIBAToshiyuki HORIUCHIKazuaki MORIOMotoji SAWABETakayuki HOSOI
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 10 Pages 1078-1083

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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.

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© 2005 by The Japanese Society of Internal Medicine
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