Kopyleva O D, Daminov M A, Ignatova M S, Degtiareva E M
Ter Arkh. 1991;63(10):67-70.
As many as 27 children aged 6 to 15 years with morphologically verified nephropathies were examined. Four variants of changes in the thyroid status, characteristic of children with different variants of nephrotic syndrome were distinguished: 1) biochemical signs of primary hypothyroidism, 2) biochemical signs of secondary hypothyroidism, 3) low content of T3, 4) dysfunction of the hypophyseal and thyroid system. It is shown that the low level of steroid receptors, thyroid hormones that the low level of steroid receptors, thyroid hormones (T3 and T4) and cortisol is typical of children with the signs of renal dysplasia. It is assumed that superaddition under such conditions of immune glomerulopathy (glomerulonephritis and nephrotic syndrome) gives rise to the resistance to the treatment with glucocorticoids.
对多达27名6至15岁经形态学证实患有肾病的儿童进行了检查。区分出了肾病综合征不同变体患儿甲状腺状态变化的四种类型:1)原发性甲状腺功能减退的生化指标,2)继发性甲状腺功能减退的生化指标,3)T3含量低,4)垂体和甲状腺系统功能障碍。结果表明,类固醇受体、甲状腺激素(T3和T4)水平低以及皮质醇水平低是有肾发育异常体征儿童的典型特征。据推测,在这种情况下叠加免疫性肾小球病(肾小球肾炎和肾病综合征)会导致对糖皮质激素治疗产生耐药性。