Seronegative Full-house Nephropathy with Crohn's Disease

Intern Med. 2022 Dec 1;61(23):3553-3558. doi: 10.2169/internalmedicine.8820-21. Epub 2022 May 7.

Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease. Lupus nephritis (LN) is a major risk factor for mortality in SLE, and glomerular "full-house" immunofluorescence staining is a well-known characteristic of LN. However, some cases of non-lupus glomerulonephritis can also present with a "full-house" immunofluorescence pattern. We recently encountered a patient with full-house nephropathy (FHN) during adalimumab administration for Crohn's disease. IgA nephropathy or idiopathic FHN was diagnosed, and treatment with steroids was started, after which there was improvement in proteinuria. The prognosis of FHN has been reported to be poor; therefore, aggressive treatment is required for such patients.

Keywords: Crohn's disease; IgA nephropathy; full-house nephropathy.

MeSH terms

  • Crohn Disease* / complications
  • Crohn Disease* / drug therapy
  • Glomerulonephritis, IGA* / complications
  • Glomerulonephritis, IGA* / diagnosis
  • Humans
  • Lupus Erythematosus, Systemic* / complications
  • Lupus Nephritis* / complications
  • Lupus Nephritis* / diagnosis
  • Lupus Nephritis* / drug therapy
  • Proteinuria / complications