Khaira Ambar, Rathi Om P, Mahajan Sandeep, Sharma Alok, Dinda Amit K, Tiwari Suresh C
Department of Nephrology, All India Institute of Medical Sciences, New Delhi, India.
Clin Exp Nephrol. 2008 Feb;12(1):79-81. doi: 10.1007/s10157-007-0006-5. Epub 2008 Jan 5.
A 14-year-old girl presented with a 10-year history of a large crusted plaque over the right thigh for 10 years and small reddish plaque over the left upper back for 3 months. On routine evaluation, she was found to have hematuria. Skin biopsy from the lesion was suggestive of skin tuberculosis (lupus vulgaris), and kidney biopsy showed features of IgA nephropathy (IgAN). Fine-needle aspiration from the inguinal lymph node was consistent with granulomatous disease. The patient has been on anti-tubercular treatment, and the hematuria has subsided.
一名14岁女孩，右大腿有一个结痂的大斑块，病程10年，左后背上方有一个小红斑，病程3个月。常规检查时发现她有血尿。病变部位的皮肤活检提示为皮肤结核（寻常狼疮），肾脏活检显示为IgA肾病（IgAN）的特征。腹股沟淋巴结细针穿刺结果符合肉芽肿性疾病。该患者一直在接受抗结核治疗，血尿已消退。
