非糖尿病性肾病并发糖尿病肾病

Nondiabetic renal disease complicating diabetic nephropathy.

作者信息

Hironaka K, Makino H, Ikeda S, Haramoto T, Ota Z

机构信息

Third Department of Medicine, Okayama University, Medical School, Japan.

出版信息

J Diabet Complications. 1991 Apr-Sep;5(2-3):148-9. doi: 10.1016/0891-6632(91)90051-p.

DOI:10.1016/0891-6632(91)90051-p

PMID:1770026

Abstract

The clinicopathological and laboratory findings for 35 diabetic patients who had undergone renal biopsy from 1982 to 1990 were reviewed. Ten of these patients (28.6%) were found to have nondiabetic renal diseases. Five of those patients (14.3%) suffered from nondiabetic renal disease complicated by diabetic nephropathy. Nondiabetic renal diseases included IgA nephropathy, idiopathic membranous nephropathy, membranoproliferative glomerulonephritis (types I and III), minimal change disease, and toxemia of pregnancy. The diagnosis of nondiabetic renal diseases complicated by diabetes is important for the treatment of renal disease. Urinary abnormalities and/or deterioration in renal function inconsistent with the natural history of diabetic nephropathy were suggestive of the presence of nondiabetic renal disease.

摘要

回顾了1982年至1990年间接受肾活检的35例糖尿病患者的临床病理和实验室检查结果。其中10例患者（28.6%）被发现患有非糖尿病性肾脏疾病。其中5例患者（14.3%）患有非糖尿病性肾脏疾病合并糖尿病肾病。非糖尿病性肾脏疾病包括IgA肾病、特发性膜性肾病、膜增生性肾小球肾炎（I型和III型）、微小病变病和妊娠中毒症。非糖尿病性肾脏疾病合并糖尿病的诊断对肾脏疾病的治疗很重要。与糖尿病肾病自然病程不一致的尿液异常和/或肾功能恶化提示存在非糖尿病性肾脏疾病。