Late-onset rheumatoid arthritis in a patient with successfully treated IgA nephropathy

The paper describes a rare clinical case of rheumatoid arthritis (RA) that developed in a patient 9 years after diagnosing IgA nephropathy. Kidney disease was characterized by a stable course with moderate urinary syndrome, hypertension, and reduced renal function. Immunosuppressive therapy using gl...

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Main Authors: N V Chebotareva, I N Bobkova, S V Gulyaev
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2017-08-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/viewFile/32310/pdf
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author N V Chebotareva
I N Bobkova
S V Gulyaev
author_facet N V Chebotareva
I N Bobkova
S V Gulyaev
author_sort N V Chebotareva
collection DOAJ
description The paper describes a rare clinical case of rheumatoid arthritis (RA) that developed in a patient 9 years after diagnosing IgA nephropathy. Kidney disease was characterized by a stable course with moderate urinary syndrome, hypertension, and reduced renal function. Immunosuppressive therapy using glucocorticosteroids and then mycophenolic acid led to remission of nephritis and recovery of renal function. However, the absence of nephritis activity and discontinuation of immunosuppressants was responsible for articular syndrome. The diagnosis of RA is based on its characteristic radiological patterns and immunological characteristics after ruling out a number of systemic diseases and infections. The common pathogenetic components of IgA nephropathy and RA, including the role of rheumatoid factor IgA, are discussed.
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spelling doaj.art-46ffc718d79948bc9572e1927fb41e312022-12-22T01:45:19Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422017-08-01898777910.17116/terarkh201789877-7929310Late-onset rheumatoid arthritis in a patient with successfully treated IgA nephropathyN V ChebotarevaI N BobkovaS V GulyaevThe paper describes a rare clinical case of rheumatoid arthritis (RA) that developed in a patient 9 years after diagnosing IgA nephropathy. Kidney disease was characterized by a stable course with moderate urinary syndrome, hypertension, and reduced renal function. Immunosuppressive therapy using glucocorticosteroids and then mycophenolic acid led to remission of nephritis and recovery of renal function. However, the absence of nephritis activity and discontinuation of immunosuppressants was responsible for articular syndrome. The diagnosis of RA is based on its characteristic radiological patterns and immunological characteristics after ruling out a number of systemic diseases and infections. The common pathogenetic components of IgA nephropathy and RA, including the role of rheumatoid factor IgA, are discussed.https://ter-arkhiv.ru/0040-3660/article/viewFile/32310/pdfiga nephropathyrheumatoid arthritisiga rheumatoid factor
spellingShingle N V Chebotareva
I N Bobkova
S V Gulyaev
Late-onset rheumatoid arthritis in a patient with successfully treated IgA nephropathy
Терапевтический архив
iga nephropathy
rheumatoid arthritis
iga rheumatoid factor
title Late-onset rheumatoid arthritis in a patient with successfully treated IgA nephropathy
title_full Late-onset rheumatoid arthritis in a patient with successfully treated IgA nephropathy
title_fullStr Late-onset rheumatoid arthritis in a patient with successfully treated IgA nephropathy
title_full_unstemmed Late-onset rheumatoid arthritis in a patient with successfully treated IgA nephropathy
title_short Late-onset rheumatoid arthritis in a patient with successfully treated IgA nephropathy
title_sort late onset rheumatoid arthritis in a patient with successfully treated iga nephropathy
topic iga nephropathy
rheumatoid arthritis
iga rheumatoid factor
url https://ter-arkhiv.ru/0040-3660/article/viewFile/32310/pdf
work_keys_str_mv AT nvchebotareva lateonsetrheumatoidarthritisinapatientwithsuccessfullytreatediganephropathy
AT inbobkova lateonsetrheumatoidarthritisinapatientwithsuccessfullytreatediganephropathy
AT svgulyaev lateonsetrheumatoidarthritisinapatientwithsuccessfullytreatediganephropathy