Ueda Hideki, Isimura Eiji, Okuno Senji, Maekawa Kiyoshi, Izumotani Tsuyoshi, Kim Masao, Matsumoto Naoki, Fukumoto Shinya, Imanishi Yasuo, Emoto Masanori, Shoji Tetsuo, Wanibuchi Hideki, Inaba Masaaki, Nishizawa Yoshiki
Department of Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.
Nihon Jinzo Gakkai Shi. 2002 May;44(4):420-6.
We have experienced rare cases of membranoproliferative glomerulonephritis (MPGN)-like nephritis, which was seen in siblings. Both the brothers had asymptomatic hematuria and proteinuria at an age before 10, 7 and 4 years old, respectively. Renal biopsy revealed proliferative glomerulonephritis, resembling MPGN type III. The family history showed that their father and grandfather suffered from end-stage renal disease, suggesting that MPGN seen in the present sibling cases is hereditary. A review of the literature revealed that familial MPGN is rare, that most of the cases have urinary abnormalities at an age of less than 10 years, and that male preponderance is seen in familial MPGN.
我们遇到过罕见的膜增生性肾小球肾炎(MPGN)样肾炎病例,这种病例出现在兄弟姐妹中。兄弟俩分别在10岁、7岁和4岁之前出现了无症状血尿和蛋白尿。肾活检显示为增生性肾小球肾炎,类似于III型MPGN。家族史表明他们的父亲和祖父患有终末期肾病,这表明在目前这对兄弟姐妹病例中所见的MPGN是遗传性的。文献回顾显示,家族性MPGN很少见,大多数病例在10岁之前出现泌尿系统异常,并且家族性MPGN中男性占优势。