Autor(es): Pestana, Nicole ; Vida, Carlota ; Durães, José ; Silva, Gil ; Vieira, Pedro
Data: 2021
Identificador Persistente: http://hdl.handle.net/10400.26/35481
Origem: Serviço de Saúde da Região Autónoma da Madeira, E.P.E.
Assunto(s): membranous nephropathy; celiac disease; nephrotic syndrome; Madeira Island; Portugal; sindrome nefrótico
Membranous nephropathy is the most common cause of nephrotic syndrome in adults. A non-negligible number of cases are associated with systemic conditions. We report a case of a 50-year-old man who presented with nephrotic syndrome six months after being diagnosed with celiac disease. Although the patient showed disappearance of circulating immunoglobulin A (IgA) anti-tissue transglutaminase antibodies following a gluten-free diet, he had a sudden onset of nephrotic syndrome presenting with severe hypoalbuminemia. Other secondary causes were promptly excluded leading to the assumption of celiac disease-associated membranous nephropathy with remission after treatment with angiotensin system blockade and a gluten-free diet. The goal of this case report is to alert the clinic towards this rare association aiming for an early diagnosis and adequate selection of long-term therapy.
