Membranous glomerulonephritis: a case report

Abstract

A clinical case is presented with the aim of performing an analysis that allows to provide timely and comprehensive care to patients diagnosed with kidney diseases such as membranous glomerulonephritis, characterized by edema of the lower limbs, fatigue, and loss of protein in the urine. The case is a 55-year-old male patient who came to the NAPOLEÓN DÁVILA CÓRDOVA hospital because of anasarca and dyspnea with medium to minimal effort. Paraclinical tests are performed where leukocytosis with neutrophilia, slight elevation of creatinine and CRP, proteinuria, with hypoalbuminemia are evident; abdominal ultrasound reports significant ascites. In this context of a patient with generalized edema plus proteinuria and reduced albuminemia, nephrotic syndrome is suspected, for which reason measures are initiated to achieve a negative balance and with the diagnostic suspicion, a renal biopsy is performed in which a membranous lesion pattern + PLA 2R positive in basal membranes is reported. Analyzing the presentation of the patient's symptoms, it can be classified as idiopathic. The importance of diagnosing membranous glomerulonephritis is demonstrated.