de Decker S, Bovy C, Deflandre J, Moonen M, Van Nes MC. Treatment of a nephrotic syndrome by endoscopic removal of a villous adenoma of the duodenum.
ACTA ACUST UNITED AC 2010;
34:625-8. [PMID:
20850233 DOI:
10.1016/j.gcb.2010.08.001]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2010] [Revised: 08/02/2010] [Accepted: 08/02/2010] [Indexed: 11/17/2022]
Abstract
We report the case of a patient diagnosed with a villous adenoma of the duodenum showing high degree dysplasia who developed a nephrotic syndrome (NS) due to a membranous nephropathy (MN), demonstrated by renal biopsy. Only the endoscopic resection of the duodenal adenoma could control the NS. The first manifestation of a MN is often the development of a NS. Up to 20% of patients older than 65 years who develop a MN have cancer. Tumours most often identified are those of lung, prostate and digestive tract. A renal biopsy is required to identify this type of nephropathy. If a diagnosis of MN is made, an associated tumour should be looked for.
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