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"Gyeon Il Yun"

Case Report
[English]
A Case of Type II Membranousproliferative Glomerulonephritis with Hump (Dense Deposit Disease)
Hee Jung Oh, Min A Yu, Young Sook Lee, Mi Yoen Kim, Seung Jeong Kim, Duck Hee Kang, Gyeon Il Yun, Kyu Bok Choi, Sun Hee Sung
Ihwa Ŭidae chi 2004;27(1):63-69.   Published online March 30, 2004
DOI: https://doi.org/10.12771/emj.2004.27.1.63

Dense deposit disease (DDD), known as type II MPGN, is an uncommon form of glomerulonephritis. It is an acquired primary glomerular disease, characterised by electron microscopic evidence of a continous, dense membrane deposition replacing the lamina densa. There is associated alternative pathway complement activation and a C3 nephritic factor maybe present. Patients with dense deposit disease tend to be young at clincal onset and more commonly have persistent nephrotic syndrome, gross hematuria, and acute nephritis episode and persistent depression of the serum complement level. The prognosis of dense deposit disease is worse than that of type I MPGN. We experienced a patient with dense deposit disease that presenting persistent nephrotic syndrome, gross hematuria and having subepithelial hump. It is a first report of dense deposit disease having subepithelial hump in Korea, therefore we report this case with the review of relevant literatures.

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