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微小病变病(肾脏)、局灶节段性肾小球硬化症和局灶性系膜增生性肾小球肾炎中的肾病综合征

[Nephrotic syndrome in minimal change disease (kidney), focal segmental glomerulosclerosis, and focal mesangioproliferative glomerulonephritis].

作者信息

Voznesenskaia T S, Sergeeva T V

出版信息

Ter Arkh. 2002;74(6):31-3.

Abstract

AIM

To specify clinical and laboratory characteristics of minimal change disease (MCD), focal mesangioproliferative glomerulonephritis (MPGN), focal-segmental glomerulosclerosis (FSGS).

MATERIAL AND METHODS

A retrospective analysis of 45 case histories of children (renal biopsy for nephrotic syndrome) has shown that morphologically 13 of them had MCD, 15--FSGS and 17--focal MPGN. Clinical, laboratory, immunofluorescent and electron microscopy findings typical for each of the morphological types were studied.

RESULTS

The data obtained suggest that MCD, FSGS and focal MPGN may represent independent forms of glomerulonephritis.

CONCLUSION

If a differential diagnosis by renal biopsy is difficult, information from the disease history and clinico-laboratory evidence should be used.

摘要

目的

明确微小病变病(MCD)、局灶性系膜增生性肾小球肾炎(MPGN)、局灶节段性肾小球硬化(FSGS)的临床和实验室特征。

材料与方法

对45例儿童肾病综合征肾活检病历进行回顾性分析,结果显示其中13例为MCD,15例为FSGS,17例为局灶性MPGN。研究了每种形态学类型典型的临床、实验室、免疫荧光和电子显微镜检查结果。

结果

所获数据提示MCD、FSGS和局灶性MPGN可能为肾小球肾炎的独立类型。

结论

若通过肾活检进行鉴别诊断困难,应利用病史及临床实验室证据。

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