SUCCESSFUL AYURVEDIC MANAGEMENT OF CRESCENTIC FORM OF IGA NEPHROPATHY WITH CONCURRENT ANTI GBM DISEASE LEADING TO ESRD-A CASE STUDY

*Dr. Sarita Pradip Gaikwad and Maj. Dr. Pradip Gaikwad

ABSTRACT

IgA Nephropathy is the most common form of Glomerulopathy and its incidence is steadily increasing globally. A number of studies have documented a poor prognosis in the crescentic form of IgA nephropathy. The concurrent presentation of anti-GBM disease with IgA nephropathy has been rarely reported. End Stage Renal Disease is the outcome in majority of patients with crescentic form of IgA nephropathy within 5 years. Nothing much is left to save life when ESRD is established, except Kidney transplantation or Dialysis. Here is a case study of 45 year old male subject developing RPGN, due to IgA crescentic form of Nephropathy and was unsuccessfully managed by Modern treatment by steroids, Plasmapheresis and haemodialysis, case deteriorated and landed in to ESRD, but Ayurved has successfully managed the case for more than a year and maintained him without dialysis. His ESRD/CKD-5 status has improved to CKD stage 4. He is symptomless, doing his entire job in government setting, maintaining full quality of life. This case study highlights the potential of Ayurved in treating conditions like IgA nephropathy with anti-GBM disease leading to ESRD where modern medicine has limitations.

Keywords: IgA Nephropathy, Crescentic IgA Nephropathy, IgAN, Anti GBM disease, Ayurvedic management, Anuktavyadhi.