2020 Volume 33 Issue 2 Pages 83-87
This paper reports on the 10-year prognosis for tonsillectomy and pulse therapy for IgA nephropathy following renal transplantation at the Kochi Health Sciences Center. The study subjects consisted of four patients with IgA nephropathy following renal transplantation who underwent tonsillectomy at the Center’s Department of Otorhinolaryngology between March 1, 2005 and May 25, 2009 and were followed up for 10 years. Three subjects underwent both tonsillectomy and pulse therapy, and the other one underwent tonsillectomy alone. The parameters examined were urinary occult blood （qualitative, sediments） and urinary protein （qualitative）, and their findings obtained at 10 years post-operation were compared with those obtained before the surgery. All subjects were negative for urinary occult blood in terms of both qualitative testing and sediments. Three subjects were negative for urinary protein in terms of qualitative testing both at the time of surgery and after 10 years, whereas the other one subject became positive 9 years after tonsillectomy. Since no recurrence was noted in any subject during the 10 post-operative years, it is considered that tonsillectomy and pulse therapy may be effective.
