Zelichowski G, Smoszna J, Osiecki M, Maruszyński M, Wańkowicz Z
Z Kliniki Nefrologii ze Stacja Dializ Centralnego Szpitala Klinicznego WAM w Warszawie.
Pol Merkur Lekarski. 2000 Dec;9(54):849-54.
Takayasu's arteritis is non-specific vasculitis, affecting aorta and its main branches. Renal involvement is usually manifested by renovascular hypertension followed by ischemic nephropathy. Early start of immunosuppressive treatment can substantially improve prognosis and delay progress of dangerous organic complications. On the basis of two cases of Takayasu's arteritis with renal involvement, we paid the attention to progressive nature of disease with renovascular hypertension, requiring corrective operation of renal arteries, despite intensive immunosuppressive treatment.
高安动脉炎是一种非特异性血管炎，累及主动脉及其主要分支。肾脏受累通常表现为肾血管性高血压，继而发展为缺血性肾病。早期开始免疫抑制治疗可显著改善预后并延缓危险器质性并发症的进展。基于两例累及肾脏的高安动脉炎病例，我们注意到了疾病伴肾血管性高血压的进展性，尽管进行了强化免疫抑制治疗，但仍需要对肾动脉进行矫正手术。
