Nephrotic syndrome after insect sting: a case report.

Minimal change disease accounts for up to 25% of the cases of nephrotic syndrome in adult population. The allergic mechanism has been associated with minimal change disease and allergens have been implied, namely insect stings. We present a case report of a woman with new onset of nephrotic syndrome after a non-hymenoptera insect sting, with biopsy-proven minimal change disease, that was accompanied by a pulmonary thromboembolism process. Complete remission with glucocorticoid therapy was observed, with sustained response for 6 months after discontinuation. A new exposure to insect sting in the same geographical region and season triggered a nephrotic syndrome relapse. Subsequent avoidance of the place resulted in a sustained remission for more than 4 years.

Citation

Vânia Junqueira, Beatriz Donato, Catarina Teixeira, Maria Isabel Mascarenhas, Isabel Costa Silva, Edgar Almeida. Nephrotic syndrome after insect sting: a case report. Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia. 2020 Oct-Dec;42(4):498-501

Mesh Tags

PMID: 32818223

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