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Bilateral scleritis and sclerokeratitis associated with IgA nephropathy
Manuel Garza-Leon1, Diana Flores, Gabriela Alarcón-Galván
1Instituto para Preservación de la Visión, Destellos de Luz I.B.P, Ruperto Martínez # 1317 Pte., Col. Centro, Monterrey, Nuevo León, 64000, Mexico, dr.manuel.garza@gmail.com.
Purpose:
The purpose of this study is to report a case of bilateral nodular scleritis in a patient with final diagnosis of IgA nephropathy.
Methods:
This is an observational case report.
Results:
A male patient, 42 years old, presented with a bilateral nodular scleritis and OD sclerokeratitis. He had a previous history of acute otitis media and developed posterior renal failure and arterial hypertension. Clinical and systemic findings suggest Wegener's granulomatosis. A kidney biopsy was performed, and immunoflourescence findings demonstrated granular deposits of IgA in a mesangial pattern confirming the diagnosis of IgA nephropathy
Conclusions:
IgA nephropathy should be a differential diagnosis in patients with scleritis and nephropathy.
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