PT  - JOURNAL ARTICLE
AU  - Hikaru Sugimoto
AU  - Yasuko Yamaguchi
AU  - Wako Yumura
AU  - Takashi Takei
TI  - Efficacy and safety of low-dose corticosteroid with azathioprine in the treatment of elderly-onset IgA vasculitis with nephritis
AID  - 10.1136/bcr-2020-241422
DP  - 2021 Jun 01
TA  - BMJ Case Reports
PG  - e241422
VI  - 14
IP  - 6
4099  - http://casereports.bmj.com/content/14/6/e241422.short
4100  - http://casereports.bmj.com/content/14/6/e241422.full
SO  - BMJ Case Reports2021 Jun 01; 14
AB  - The diagnosis of elderly-onset IgA vasculitis (IgAV) and its prognosis can be difficult to ascertain because of its rarity and the frequent presence of comorbidities. Furthermore, the treatment of elderly-onset IgAV remains controversial. We report a case of IgAV in an 87-year-old patient. Renal involvement was detected early during the IgAV follow-up. He was treated with low-dose corticosteroid and azathioprine, which led to a complete remission without any adverse effects. This suggests that precise intervention with early diagnosis and careful renal follow-up may prevent renal failure and that low-dose steroids with azathioprine can be an effective treatment for elderly-onset IgAV with nephritis.