IgA nephropathy is the most common glomerular disease worldwide, but is gen
erally renal limited or associated with a rash. Pulmonary hemorrhage has be
en very uncommonly associated with IgA nephropathy, although it is frequent
ly seen in other glomerulonephritides. We describe a well-proven case of Ig
A nephropathy associated with pulmonary hemorrhage, in which immunosuppress
ive medication was administered. We also review the literature to make a ca
se for immunosuppression in these rare patients. Copyright (C) 2001 S.Karge
r AG, Basel.