Tasic V
Department of Pediatric Nephrology, Clinic for Children's Diseases, 17 Vodnjanska, 91000 Skopje, Republic of Macedonia.
Pediatr Nephrol. 2000 Dec;15(3-4):245-7. doi: 10.1007/s004670000452.
The occurrence of nephrotic syndrome after an insect sting is rarely reported in the literature. A 2-year-old boy developed generalized edema 5 days after a bee sting. The laboratory investigations revealed nephrotic range proteinuria, hypoproteinemia, hypoalbuminemia and hyperlipidemia. The corticosteroid treatment induced prompt remission with resolution of edema and normalization of the laboratory findings. There was no relapse of the disease during the 13-year follow-up. Although spontaneous remission might occur, corticosteroid treatment induced prompt remission and shortened the hospital stay.
昆虫叮咬后发生肾病综合征在文献中鲜有报道。一名2岁男孩在被蜜蜂蜇伤5天后出现全身水肿。实验室检查显示为肾病范围蛋白尿、低蛋白血症、低白蛋白血症和高脂血症。皮质类固醇治疗使水肿消退,实验室检查结果恢复正常,迅速诱导缓解。在13年的随访期间,该病未复发。虽然可能会出现自发缓解,但皮质类固醇治疗能迅速诱导缓解并缩短住院时间。