Mota F H, Sakihara G A, Scovino R, Gordillo G P
Bol Med Hosp Infant Mex. 1976 Nov-Dec;33(6):1377-84.
Forty-four renal biopsies were performed in the same number of selected patients with the diagnosis of lipoid nephrosis. Immunopathologic studies were carried out in all the biopsies. Positive immunofluorescence to immunoglobulins, complement/or fibrin was found in 21 cases (48%). A correlation was found between immunopathological findings and the number of patients with frequent relapses. More number of patients with frequent relapses were found in the group with positive immunofluorescence (p less than 0.01) than in those with negative results. No explanation was found for this situation; however it is suggested that the glomerular detection of immune proteins with lipoid nephrosis could be a useful parameter to predict frequent relapses in children with lipoid nephrosis.
对44例确诊为脂性肾病的选定患者进行了肾活检。对所有活检组织进行了免疫病理学研究。21例(48%)活检组织免疫球蛋白、补体/或纤维蛋白免疫荧光呈阳性。免疫病理学结果与频繁复发患者的数量之间存在相关性。免疫荧光阳性组(p<0.01)频繁复发的患者数量多于阴性组。目前尚未找到对此情况的解释;然而,有观点认为,脂性肾病患者肾小球中免疫蛋白的检测可能是预测儿童脂性肾病频繁复发的一个有用参数。