Müller-Wiefel D E, Waldherr R
Universitäts-Kinderklinik, Hamburg-Eppendorf.
Monatsschr Kinderheilkd. 1992 Feb;140(2):84-90.
Congenital glomerulopathies are rare but very severe diseases from the clinical point of view. Their origin is either located in the kidney itself or outside the kidneys. The exact differential diagnosis is only possible taking into consideration other organ systems. A histological certification is mostly inevitable. The prognosis of congenital glomerulopathies is usually bad due to the development of chronic renal failure in most cases. Therapeutic aspects are limited to a small number of specific forms. Recurrences in a renal graft, however, are usually not to be expected.
从临床角度来看,先天性肾小球病虽罕见但病情严重。其病因要么位于肾脏本身,要么在肾脏之外。只有综合考虑其他器官系统,才能做出准确的鉴别诊断。组织学确诊大多不可避免。由于多数情况下会发展为慢性肾衰竭,先天性肾小球病的预后通常很差。治疗方法仅限于少数特定类型。不过,肾移植中通常不会出现复发情况。