Glomerulonefrite Membranoproliferativa levando a Doença Renal Crônica: relato de caso e revisão da literatura
DOI:
https://doi.org/10.34119/bjhrv6n1-325Keywords:
Glomerulonefrite Membranoploriferativa, doença renal crônica, crescentes, biópsia renalAbstract
A doença renal crônica é um problema de saúde pública com incremento anual de incidência global de cerca de 8% ao ano. Os custos com terapia renal substitutiva representam aproximadamente 10% dos recursos totais para saúde no Brasil. A glomerulonefrites são responsáveis por 10% dos casos de DRC. A glomerulonefrite membranoploriferativa ocorre em cerca de 7% das biópsias renais. O trabalho objetivou descrever um caso clínico de paciente com GNMP e evolução para DRC. Tratou-se de um paciente jovem com síndrome nefrótica, nefrítica e lesão renal aguda à admissão que ao realizar biópsia renal evidenciou-se GNMP crescêntica. Trata-se de caso raro na literatura pois observou-se crescentes em mais de 50% dos glomérulos. Paciente foi submetido a tratamento imunossupressor com melhora parcial dos sintomas mantendo-se em tratamento conservador para DRC. Caso em questão revelou-se relevante pois paciente apresentou evolução favorável a despeito dos marcadores de mau prognóstico. Paciente segue em acompanhamento ambulatorial no serviço.
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