Nissenson A R, Port F K
UCLA School of Medicine 90024.
Q J Med. 1990 Jan;74(273):63-74.
This multicentre national study has provided demographic and outcome data on over 1700 patients with rare systemic/vascular diseases as a cause of ESRD. Except for those with Henoch-Schönlein purpura, polyarteritis nodosa and Wegener's granulomatosis, women predominated. On the other hand, black patients seem less susceptible to these illnesses than white patients except for SLE. Recovery of renal function sufficient for dialysis to be discontinued was more likely in each of these diseases except for SLE than for any of the other 'rare' diseases described by us, the usual causes of renal failure as reported by the EDTA Registry or our control patients. Overall survival was quite good except in those patients with progressive systemic sclerosis whose outlook was poor.
这项多中心全国性研究提供了1700多名因罕见的系统性/血管疾病导致终末期肾病患者的人口统计学和预后数据。除了过敏性紫癜、结节性多动脉炎和韦格纳肉芽肿患者外,女性占主导。另一方面,除系统性红斑狼疮外,黑人患者似乎比白人患者更不易患这些疾病。与我们描述的任何其他“罕见”疾病、欧洲透析移植协会登记处报告的肾衰竭常见病因或我们的对照患者相比,除系统性红斑狼疮外,这些疾病中的每一种疾病患者肾功能恢复到足以停止透析的可能性更大。除了进行性系统性硬化症患者预后较差外,总体生存率相当不错。