NEPHROTIC SYNDROME AS A CLINICAL MANIFESTATION IN IGA NEPHROPATHY. CASE REPORT - NEPHROTIC SYNDROME AS A CLINICAL MANIFESTATION IN IGA NEPHROPATHY. CASE REPORT

Abstract

Immunoglobulin A (IgA) kidney disease is considered a primary glomerular pathology that occurs most globally. Within its clinical characteristics, micro and macroscopic, recurrent and transient hematuria may occur, in addition, in some asymptomatic cases. The main objective of the article focuses on describing the atypical clinical presentation of IgA nephropathy. The methodology was carried out from a descriptive study, by collecting data provided by the clinical history. Likewise, a data collection was carried out in digital databases such as: PubMed, Science Direct, Elseiver and Scopus, which serve to compare the therapeutic scheme used and the clinical manifestations associated with the pathology. The results obtained showed that an initial search showed a total of 139 articles, of which, after their respective analysis, a total of 15 articles were included. The development of a study or clinical case report is of great relevance to establish diagnostic processes and treatment schemes according to the clinical characteristics of patients with IgA nephropathy and nephrotic syndrome. The clinical picture presented by the patient corresponded to hemoptysis 24 hours ago, accompanied by a sensation of elevated temperature and dyspnea, in addition, proteinuria was observed. Treatment at discharge corresponded to a general diet, hygienic-dietary measures and control of warning signs, losartan, prednisone, simvastatin, furosemide and rivaroxaban.