Vozmediano C, Sánchez de la Nieta Ma D, González L, Alvarez T, de la Torre M, Blanco J, Nieto J, Rivera F
Sección de Nefrología, Hospital Alarcos, Ciudad Real.
Nefrologia. 2005;25(3):328-31.
The most frequent causes of glomerular diseases whose main clinical syndrome are nephrotic syndrome and acute renal failure may have several causes: acute tubular necrosis, thrombosis of renal veins, acute tubulointerstitial nephritis. Infrequently, the association between primary glomerular disease (membranous nephropathy and others) and crescentic glomerulonephritis can cause this clinical picture. We describe a young woman without systemic disease with nephrotic syndrome and acute renal failure secondary to membranous nephropathy and superimposed crescentic glomerulonephritis. She received steroids and cyclophosphamide with stabilization of renal function after two months of follow-up.
以肾病综合征和急性肾衰竭为主要临床综合征的肾小球疾病,其最常见病因可能有多种:急性肾小管坏死、肾静脉血栓形成、急性肾小管间质性肾炎。原发性肾小球疾病(膜性肾病等)与新月体性肾小球肾炎之间的关联较少见,可导致这种临床表现。我们描述了一名无全身性疾病的年轻女性,患有肾病综合征和急性肾衰竭,继发于膜性肾病并叠加新月体性肾小球肾炎。经过两个月的随访,她接受了类固醇和环磷酰胺治疗,肾功能得以稳定。