自然寛解した高齢者ネフローゼ症候群の1例

Abstract

We report a case of nephrotic syndrome in an elderly patient who presented with spontaneous remission in a short period. The patient was a 68-year-old female admitted to our department because of leg edema and abdominal fullness on May 22, l992. She was diagnosed as having nephrotic syndrome with massive proteinuria, hypo- proteinemia, hypoalbuminemia and hyperlipidemia. Histological findings of renal biopsy were compatible with minimal change nephrotic syndrome (MCNS). She had spontaneous complete remission without any specific treatment 2 weeks after admission. MCNS mainly affects children and young adults, and is not accompanied by spontaneous remission within 2 weeks after onset. Thus, this is an extremely rare case of MCNS.