Cyclosporin A-sensitive nephrotic syndrome preceding Hodgkin's disease by 32 months

Clin Nephrol. 1990 Jul;34(1):1-4.

Abstract

A 20-year-old man developed a massive nephrotic syndrome, rapidly complicated by pulmonary embolism and septicemia. Two renal biopsies taken 3 months apart showed minimal change glomerulonephritis. Treatment with prednisolone 1.5 mg/kg/day failed to induce a sustained remission, then monotherapy with cyclosporin A (CsA, 5 mg/kg/day) was started. Complete remission was obtained after 15 weeks. CsA was gradually tapered to 3 mg/kg/day. Twenty-two months after starting CsA, a routine examination disclosed a right sub-clavicular lymph node, of which histological examination showed a class 4 large cell Hodgkin's lymphoma. CsA was abruptly withdrawn and a polychemotherapy resulted in lymphoma remission after four courses. Ten months later, Hodgkin's disease is currently in remission and there is no relapse of proteinuria.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cyclosporins / adverse effects
  • Cyclosporins / blood
  • Cyclosporins / therapeutic use*
  • Hodgkin Disease / etiology*
  • Hodgkin Disease / pathology
  • Humans
  • Male
  • Nephrotic Syndrome / complications
  • Nephrotic Syndrome / drug therapy*
  • Nephrotic Syndrome / physiopathology
  • Pulmonary Embolism / complications
  • Sepsis / complications

Substances

  • Cyclosporins