非肝硬化性门静脉高压症中的IgA肾病
IgA nephropathy in non-cirrhotic portal hypertension.
作者信息
Babbs C, Warnes T W, Torrance H B, Ballardie F W
机构信息
University Department of Gastroenterology Manchester Royal Infirmary.
出版信息
Gut. 1991 Feb;32(2):225-6. doi: 10.1136/gut.32.2.225.
Abstract
Renal glomerular changes are a well recognised complication of cirrhosis and are frequently characterised by mesangial IgA deposition. We report a patient with non-cirrhotic portal hypertension who developed IgA nephropathy and a nephrotic syndrome with renal histological changes classically associated with cirrhosis. Splenectomy with resection of a splenic artery aneurysm resulted in remission of the nephrotic syndrome. This case illustrates the factors which contribute to the pathogenesis of IgA nephropathy in liver disease.
摘要
肾小球改变是肝硬化一种公认的并发症，常表现为系膜IgA沉积。我们报告一例非肝硬化性门静脉高压患者，该患者发生了IgA肾病及肾病综合征，其肾脏组织学改变通常与肝硬化相关。脾切除并切除脾动脉动脉瘤后，肾病综合征缓解。该病例说明了肝病中导致IgA肾病发病机制的因素。
相似文献
1
IgA nephropathy in non-cirrhotic portal hypertension.非肝硬化性门静脉高压症中的IgA肾病
Gut. 1991 Feb;32(2):225-6. doi: 10.1136/gut.32.2.225.
2
Association of liver cirrhosis related IgA nephropathy with portal hypertension.肝硬化相关性IgA肾病与门静脉高压的关联
World J Gastroenterol. 2007 Nov 21;13(43):5783-6. doi: 10.3748/wjg.v13.i43.5783.
3
IgA nephropathy associated with portal hypertension in liver cirrhosis due to non-alcoholic and non-A, non-B, non-C hepatitis.非酒精性及非甲、非乙、非丙型肝炎所致肝硬化门静脉高压相关的IgA肾病
Intern Med. 1994 Aug;33(8):488-91. doi: 10.2169/internalmedicine.33.488.
4
Hepatic-associated immunoglobulin-A nephropathy in a child with liver cirrhosis and portal hypertension.儿童肝硬化伴门静脉高压症相关免疫球蛋白 A 肾病。
Saudi J Gastroenterol. 2012 May-Jun;18(3):214-6. doi: 10.4103/1319-3767.96463.
5
Splenic artery aneurysms in portal hypertension.门静脉高压症中的脾动脉瘤
J Cardiovasc Surg (Torino). 1982 Nov-Dec;23(6):490-3.
6
7
[Aneurysm of the splenic artery in liver cirrhosis and portal hypertension].肝硬化和门静脉高压症患者的脾动脉瘤
Vestn Khir Im I I Grek. 1998;157(6):85-7.
8
Comment on "Hepatic-associated immunoglobulin a nephropathy in a child with liver cirrhosis and portal hypertension".关于“一名肝硬化和门静脉高压患儿的肝脏相关性免疫球蛋白A肾病”的评论
Saudi J Gastroenterol. 2014 May-Jun;20(3):202. doi: 10.4103/1319-3767.133037.
9
10
Spontaneous remission of nephrotic syndrome in a patient with IgA nephropathy.一名IgA肾病患者肾病综合征的自发缓解
Pediatr Nephrol. 1990 Jan;4(1):36-8. doi: 10.1007/BF00858435.
引用本文的文献
1
A Case of Hepatic Glomerulosclerosis with Monoclonal IgA1- Deposits.一例伴有单克隆IgA1沉积的肝肾小球硬化症
Case Rep Nephrol. 2018 Oct 1;2018:4748357. doi: 10.1155/2018/4748357. eCollection 2018.
2
Transjugular renal biopsy in a case of nephrotic syndrome with extrahepatic portal venous obstruction.经颈静脉肾活检用于一例伴有肝外门静脉阻塞的肾病综合征患者
Indian J Nephrol. 2013 Mar;23(2):146-8. doi: 10.4103/0971-4065.109445.
3
Hepatic-associated immunoglobulin-A nephropathy in a child with liver cirrhosis and portal hypertension.儿童肝硬化伴门静脉高压症相关免疫球蛋白 A 肾病。
Saudi J Gastroenterol. 2012 May-Jun;18(3):214-6. doi: 10.4103/1319-3767.96463.
4
Life-threatening hypersplenism due to idiopathic portal hypertension in early childhood: case report and review of the literature.儿童期特发性门静脉高压导致危及生命的脾功能亢进：病例报告及文献复习。
BMC Gastroenterol. 2010 Oct 20;10:122. doi: 10.1186/1471-230X-10-122.
5
Association of liver cirrhosis related IgA nephropathy with portal hypertension.肝硬化相关性IgA肾病与门静脉高压的关联
World J Gastroenterol. 2007 Nov 21;13(43):5783-6. doi: 10.3748/wjg.v13.i43.5783.
6
Immunopathogenesis of experimental IgA nephropathy.实验性IgA肾病的免疫发病机制
Springer Semin Immunopathol. 1994;16(1):81-95. doi: 10.1007/BF00196716.
本文引用的文献
1
"Cirrhotic glomerulosclerosis," a renal lesion associated with hepatic cirrhosis.“肝硬化性肾小球硬化症”，一种与肝硬化相关的肾脏病变。
Lab Invest. 1959 Sep-Oct;8:962-78.
2
The renal glomerulus in cirrhosis of the liver.肝硬化中的肾小球。
Am J Pathol. 1961 Oct;39(4):393-404.
3
The membranous and proliferative glomerulonephritis of hepatic cirrhosis.肝硬化的膜性和增殖性肾小球肾炎
Am J Clin Pathol. 1959 Jul;32(1):48-55. doi: 10.1093/ajcp/32.1.48.
4
Immunologic studies in IgA nephropathy.IgA肾病的免疫学研究。
Kidney Int. 1980 Sep;18(3):366-74. doi: 10.1038/ki.1980.147.
5
Hepatic glomerulonephritis. Characteristics of hepatic IgA glomerulonephritis as the major part.肝性肾小球肾炎。以肝性IgA肾小球肾炎为主要部分的特征。
Virchows Arch A Pathol Anat Histol. 1981;392(1):45-54. doi: 10.1007/BF00430547.
6
Heterogeneous IgA glomerulonephropathy in liver cirrhosis.肝硬化中的异质性IgA肾小球肾炎
Histopathology. 1984 Nov;8(6):947-62. doi: 10.1111/j.1365-2559.1984.tb02413.x.
7
Amyloid proteins, precursors, mediator, and enhancer.淀粉样蛋白、前体、介质和增强剂。
Lab Invest. 1983 Jan;48(1):1-4.
8
Portal hypertension resulting from splenic arteriovenous fistulae.脾动静脉瘘导致的门静脉高压。
Gut. 1965 Oct;6(5):500-2. doi: 10.1136/gut.6.5.500.
9
IgA nephropathy: perspectives on pathogenesis and classification.IgA肾病：发病机制与分类的观点
Clin Nephrol. 1985 Oct;24(4):161-79.
10
Cirrhotic glomerulonephritis: incidence, morphology, clinical features, and pathogenesis.肝硬化性肾小球肾炎：发病率、形态学、临床特征及发病机制
Am J Kidney Dis. 1987 Mar;9(3):183-90. doi: 10.1016/s0272-6386(87)80053-7.
Zotero 插件