Evidence map›Paper›PMID 41866478›Full record

ArticleBMC nephrology2026

Erythrodermic psoriasis complicated by immune complex-mediated crescentic glomerulonephritis and atypical hemolytic uremic syndrome: a case report.

Xin Chen, Junxia Huang, Ziyan Shen, Qifan Zhu, Ji Yang, Xialian Xu

Abstract readCase Reports
In one paragraph

Article in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xin Chen *Department of Nephrology, Zhongshan Hospital, Fudan University, Shanghai Institute of Kidney Disease and Dialysis (SIKD), Shanghai Key Laboratory of Kidney and Blood Purification, Shanghai Medical Center of Kidney Disease, No. 180, Fenglin Road, Xuhui District, Shanghai, P.R. China.
Junxia Huang *Department of Dermatology, Zhongshan Hospital, Fudan University, No. 180, Fenglin Road, Xuhui District, Shanghai, P.R. China.
Ziyan ShenDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai Institute of Kidney Disease and Dialysis (SIKD), Shanghai Key Laboratory of Kidney and Blood Purification, Shanghai Medical Center of Kidney Disease, No. 180, Fenglin Road, Xuhui District, Shanghai, P.R. China.
Qifan ZhuDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai Institute of Kidney Disease and Dialysis (SIKD), Shanghai Key Laboratory of Kidney and Blood Purification, Shanghai Medical Center of Kidney Disease, No. 180, Fenglin Road, Xuhui District, Shanghai, P.R. China.
Ji YangDepartment of Dermatology, Zhongshan Hospital, Fudan University, No. 180, Fenglin Road, Xuhui District, Shanghai, P.R. China. ji.yang@zs-hospital.sh.cn.
Xialian XuDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai Institute of Kidney Disease and Dialysis (SIKD), Shanghai Key Laboratory of Kidney and Blood Purification, Shanghai Medical Center of Kidney Disease, No. 180, Fenglin Road, Xuhui District, Shanghai, P.R. China. xu.xialian@zs-hospital.sh.cn.

Funding

Chinese and Western Medicine Collaborative Guidance Program for General Hospitals ZXXT-202204
6 · The paper itself

Abstract

backgroundErythrodermic psoriasis (EP) is a severe, systemic inflammatory dermatosis. While kidney involvement is rare, the massive cytokine release associated with EP can induce systemic complications. We report a rare case of EP complicated by the simultaneous onset of immune complex-mediated crescentic glomerulonephritis (GN) and atypical haemolytic uraemic syndrome (aHUS), highlighting a severe form of complement-mediated renal injury in the context of dermatological inflammation. CASE PRESENTATION: A 52-year-old male presented with a three-month history of diffuse erythrodermic psoriasis following herbal supplement ingestion, complicated by progressive anasarca and acute kidney injury. Laboratory findings showed nephrotic-range proteinuria, microscopic haematuria, thrombocytopaenia (platelets 41 × 10^9/L), microangiopathic haemolysis (elevated lactate dehydrogenase and schistocytes), and low complement C3 levels. Skin biopsy confirmed EP. Renal biopsy revealed diffuse endocapillary proliferation and crescent formation (20% of glomeruli) with immune complex deposition (granularIgG, IgA), alongside features of thrombotic microangiopathy (endothelial swelling, segmental double contours). The patient was successfully treated with corticosteroids, intravenous immunoglobulin, and the terminal complement inhibitor eculizumab, resulting in normalisation of haematological parameters and substantial renal recovery.

conclusionsThis case underscores a critical pathogenic link between severe psoriasis-associated systemic inflammation, immune complex deposition, and complement-mediated microangiopathy. Early recognition of this overlap syndrome and prompt complement inhibition are crucial for preventing irreversible kidney disease.

Indexed as

Antigen-Antibody ComplexAtypical Hemolytic Uremic SyndromeDermatitis, ExfoliativeGlomerulonephritisImmune Complex DiseasesPsoriasisHumansMaleMiddle AgedAntigen-Antibody ComplexAtypical hemolytic uremic syndromeComplement systemErythrodermic psoriasisImmune complex–mediated glomerulonephritisThrombotic microangiopathy

Identifiers

PMID41866478
PMCPMC13130451

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.