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[2例急进性肾小球肾炎患者同时存在抗肾小球基底膜抗体和抗髓过氧化物酶抗体]

[Simultaneous presence of antibodies against the glomerular basement membrane and anti-myeloperoxidase antibodies in 2 patients with rapidly progressive glomerulonephritis].

作者信息

Díaz Rodríguez C, Costero O, Torre A, De Alvaro F, Gil F, Picazo M L, Martínez-Ara J

机构信息

Servicio de Nefrología, Departamento de Anatomía Patológica, Hospital Universitario La Paz Madrid.

出版信息

Nefrologia. 2002;22(2):190-5.

Abstract

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.

摘要

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。

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