Shibasaki T, Ishimoto F, Kodama K, Ohno I, Sakai O
Second Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan.
Intern Med. 1992 Feb;31(2):294-7. doi: 10.2169/internalmedicine.31.294.
A 64-year-old man with renal artery thrombosis (RAT) associated with nephrotic syndrome (NS) is reported. Although this patient was diagnosed as NS due to membranous glomerulonephritis (MGN) and treated with prednisolone, RAT occurred as a result of unknown mechanisms and caused mild renal dysfunction. Creatinine clearance has been about 70 ml/min for 9 years since the onset of RAT. The renal scintigraphic image has not changed since the onset. NS responded to prednisolone therapy initially and at the time of the relapse. Recent data have shown proteinuria levels of less than 0.2 g/day.
报告了一名64岁患有与肾病综合征（NS）相关的肾动脉血栓形成（RAT）的男性患者。尽管该患者因膜性肾小球肾炎（MGN）被诊断为NS并接受了泼尼松龙治疗，但RAT因不明机制发生并导致轻度肾功能不全。自RAT发病以来9年，肌酐清除率一直约为70 ml/分钟。自发病以来，肾脏闪烁显像图像未发生变化。NS最初对泼尼松龙治疗有反应，复发时也有反应。最近的数据显示蛋白尿水平低于0.2 g/天。
