A young woman of African descent presented with fevers, arthralgia, lymphadenopathy and a skin rash. Modest proteinuria was also noted. The clinical picture suggested an acute HIV sero-conversion illness, and a renal biopsy showed a collapsing glomerulopathy compatible with that diagnosis. However, HIV serology proved persistently negative and a diagnosis of Adult Still's disease was subsequently made (by Yamaguchi criteria). Following steroid treatment, the patient's fever abated and her inflammatory markers returned to normal. Collapsing glomerulopathy is a rare but important complication of Adult Still's disease. Immunosuppressive treatment may be effective in improving renal outcome. © The Author 2009. Published by Oxford University Press.
CITATION STYLE
Arulkumaran, N., Reitbock, P., Halliday, K., Onwubalili, J., Jayasena, D., & Dupont, P. J. (2010). Adult-onset Still’s disease associated with collapsing glomerulopathy. NDT Plus, 3(1), 54–56. https://doi.org/10.1093/ndtplus/sfp114
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