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儿童急性链球菌后肾小球肾炎:临床特征与发病机制。

Post-streptococcal acute glomerulonephritis in children: clinical features and pathogenesis.

机构信息

Division of Pediatric Nephrology, Department of Pediatrics, University of Tennessee Health Science Center, and Children's Foundation Research Center at Le Bonheur Children's Medical Center, 50 North Dunlap, Memphis, TN 38103, USA.

出版信息

Pediatr Nephrol. 2011 Feb;26(2):165-80. doi: 10.1007/s00467-010-1554-6. Epub 2010 Jul 23.

Abstract

Post-streptococcal acute glomerulonephritis (PSAGN) is one of the most important and intriguing conditions in the discipline of pediatric nephrology. Although the eventual outcome is excellent in most cases, PSAGN remains an important cause of acute renal failure and hospitalization for children in both developed and underdeveloped areas. The purpose of this review is to describe both the typical and less common clinical features of PSAGN, to outline the changes in the epidemiology of PSAGN over the past 50 years, and to explore studies on the pathogenesis of the condition with an emphasis on the search for the elusive nephritogenic antigen.

摘要

链球菌后急性肾小球肾炎(PSAGN)是儿科学肾脏病学领域中最重要和最有趣的病症之一。尽管在大多数情况下最终结果良好,但 PSAGN 仍然是发达国家和发展中国家儿童急性肾衰竭和住院的重要原因。本文的目的是描述 PSAGN 的典型和不常见的临床特征,概述过去 50 年来 PSAGN 流行病学的变化,并探讨该疾病发病机制的研究,重点是寻找难以捉摸的肾炎抗原。

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