Abstract
Immunoglobulin A nephropathy (IgAN) is the most frequent type of primary glomerulonephritis [1]. Moreover, it is currently the second most frequent indication for dialysis after diabetic nephropathy in Japan [2]. Approximately 30%–40% of patients with IgAN who do not receive treatment develop end-stage renal failure [3]. Focal infections of the palatine tonsils are associated with IgAN development, and bilateral palatine tonsillectomy is effective against IgAN. Combined bilateral palatine tonsillectomy and steroid pulse therapy has good clinical outcomes among patients with IgAN [4].
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