Sicilia J J, Blanco J, Ubeda I
Endocrinology Department, Hospital Universitario Clinico San Carlos, Madrid, Spain.
Clin Nephrol. 2001 Nov;56(5):402-6.
Polymyalgia rheumatica and giant cell arteritis are rarely associated with renal diseases such as amyloidosis. Here is a case of a 72-year-old man, who developed some renal failure and a nephrotic syndrome while presenting clinical symptoms of giant cell arteritis. Percutaneous renal biopsy showed secondary amyloidosis, and temporal artery biopsy revealed some lesions which suggested temporal arteritis. In spite of aggressive steroid treatment, chlorambucil, and colchicine, the patient's renal function continued to deteriorate and the patient is now being given hemodyalisis.
风湿性多肌痛和巨细胞动脉炎很少与诸如淀粉样变性等肾脏疾病相关联。本文报告一例72岁男性患者，在出现巨细胞动脉炎临床症状的同时，出现了一些肾衰竭和肾病综合征表现。经皮肾活检显示为继发性淀粉样变性，颞动脉活检发现一些提示颞动脉炎的病变。尽管给予了积极的类固醇治疗、苯丁酸氮芥和秋水仙碱，患者的肾功能仍持续恶化，目前正在接受血液透析治疗。
