Díaz Rodríguez C, Costero O, Torre A, De Alvaro F, Gil F, Picazo M L, Martínez-Ara J
Servicio de Nefrología, Departamento de Anatomía Patológica, Hospital Universitario La Paz Madrid.
Nefrologia. 2002;22(2):190-5.
We report two patients with rapidly progressive glomerulonephritis without alveolar hemorrhage. Renal biopsy showed extracapillary glomerulonephritis with linear deposits of immunoglobulin G. Serologically anti-glomerular basement membrane antibodies (Ac AMBG) and ANCA anti-myeloperoxidase were present. All patients were treated with steroids, cyclophosphamide and plasma exchange. One patient needed dialysis, and other one died from a renal biopsy complication. We discuss the epidemiologic, pathogenic and prognostic aspects of this association.
我们报告了两名患有快速进展性肾小球肾炎且无肺泡出血的患者。肾活检显示为伴有免疫球蛋白G线性沉积的毛细血管外肾小球肾炎。血清学检查发现存在抗肾小球基底膜抗体(Ac AMBG)和抗髓过氧化物酶ANCA。所有患者均接受了类固醇、环磷酰胺和血浆置换治疗。一名患者需要透析,另一名患者死于肾活检并发症。我们讨论了这种关联的流行病学、发病机制和预后方面。