Nephrol Dial Transplant (2003) 18: 2421-2423
Case Report
Myeloperoxidase-antineutrophil cytoplasmic antibody-positive crescentic glomerulonephritis associated with benzylthiouracil therapy: report of the first case
1Department of Nephrology, 2Department of Endocrinology and 3Department of Pathology, Hedi Chaker University Hospital, Sfax, Tunisia
Correspondence and offprint requests to: Dr Faiçal Jarraya, Nephrology Department, Hedi Chaker University Hospital, Sfax 3029, Tunisia. Email: faijar@excite.com
Keywords: acute renal failure; ANCA; benzylthiouracil; crescentic glomerulonephritis; Graves disease
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| Introduction |
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Graves disease is a common form of autoimmune thyroiditis which has been successfully treated with anti-thyroid drugs for more than half a century. However, these drugs may cause major complications including agranulocytosis, hepatotoxicity and immunological disturbances such as lupus erythematosus syndrome.
Anti myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCA) mediated crescentic glomerulonephritis in association with anti-thyroid treatment was first described in 1994 [1]. In the literature, 22 cases have been reported to date. All were associated with propylthiouracil (PTU), except two [25]. One of the latter was associated with thiamazole (TMZ) [6] and the other with carbimazole (CMZ) therapy [7].
We report here the first case of an anti MPO-ANCA-positive crescentic glomerulonephritis
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| Discussion |
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