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蕈样肉芽肿相关的免疫触须样肾小球病。

Immunotactoid glomerulopathy associated with mycosis fungoides.

作者信息

Torrelo A, Rivera M T, Mampaso F, España A, Marcèn R, Ortuño J, Ledo A

机构信息

Hospital Ramòn y Cajal, Madrid, Spain.

出版信息

Postgrad Med J. 1990 Sep;66(779):773-5. doi: 10.1136/pgmj.66.779.773.

DOI:10.1136/pgmj.66.779.773
PMID:2235815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2426877/
Abstract

A patient with mycosis fungoides developed a nephrotic syndrome. Renal biopsy revealed deposits of a highly organized fibrillar material which did not stain with the typical amyloid stains; this picture was consistent with the diagnosis of non-amyloidotic fibrillary glomerulopathy or immunotactoid glomerulopathy. We believe this is the first case reported of immunotactoid glomerulopathy associated with mycosis fungoides. Possible pathogenetic implications are discussed with reference to previous publications.

摘要

一名蕈样肉芽肿患者出现了肾病综合征。肾活检显示有高度有序的纤维状物质沉积,这些物质不能被典型的淀粉样蛋白染色剂染色;此表现符合非淀粉样纤维性肾小球病或免疫触须样肾小球病的诊断。我们认为这是首例报道的与蕈样肉芽肿相关的免疫触须样肾小球病。并参考既往文献讨论了可能的发病机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2809/2426877/b0094bb615ab/postmedj00165-0081-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2809/2426877/f089007b2748/postmedj00165-0081-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2809/2426877/b0094bb615ab/postmedj00165-0081-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2809/2426877/f089007b2748/postmedj00165-0081-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2809/2426877/b0094bb615ab/postmedj00165-0081-b.jpg

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Understanding kidney involvement in mycosis fungoides: T-cell clonality as a guide for targeted therapy - a case report and literature review.了解蕈样肉芽肿中的肾脏受累情况:T细胞克隆性作为靶向治疗的指导——一例病例报告及文献综述
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A Rare Case of Immunotactoid Glomerulopathy Associated with Hodgkin Lymphoma.一例与霍奇金淋巴瘤相关的免疫触须样肾小球病罕见病例。
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Oliguric acute renal failure in mycosis fungoides with lymphomatous infiltrates in the kidneys.

本文引用的文献

1
Cutaneous T cell lymphoma: mycosis fungoides, Sézary syndrome, and other variants.皮肤T细胞淋巴瘤:蕈样肉芽肿、 Sézary综合征及其他变异型。
J Am Acad Dermatol. 1980 Feb;2(2):89-106. doi: 10.1016/s0190-9622(80)80385-9.
2
Monoclonal gammopathy and mycosis fungoides. Report of four cases and review of the literature.
J Am Acad Dermatol. 1984 Oct;11(4 Pt 1):576-9. doi: 10.1016/s0190-9622(84)70208-8.
3
IgA nephritis associated with mycosis fungoides. Report of two cases.蕈样肉芽肿相关的IgA肾病。两例报告。
Int Urol Nephrol. 2002;33(1):149-55. doi: 10.1023/a:1014482808036.
4
[Glomerulonephritis and malignant lymphoma. Mostly men with low-grade lymphoma with various forms of glomerulonephritis].[肾小球肾炎与恶性淋巴瘤。多为患有低度淋巴瘤且伴有各种形式肾小球肾炎的男性]
Med Klin (Munich). 1997 Dec 15;92(12):712-9. doi: 10.1007/BF03044667.
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Immunotactoid glomerulopathy.免疫触须样肾小球病
Medicine (Baltimore). 1985 Jul;64(4):228-43. doi: 10.1097/00005792-198507000-00004.
5
Immunotactoid glomerulopathy with leucocytoclastic skin vasculitis and hypocomplementemia: a case report.伴有白细胞破碎性皮肤血管炎和低补体血症的免疫触须样肾小球病:一例报告
Clin Nephrol. 1987 Mar;27(3):151-5.
6
Atypical membranous glomerulonephritis with fibrillar subepithelial deposits in a patient with malignant lymphoma.一名恶性淋巴瘤患者出现伴有纤维状上皮下沉积物的非典型膜性肾小球肾炎。
Nephron. 1988;48(3):226-30. doi: 10.1159/000184917.
7
Glomerulonephropathy with amyloid-stain-negative microfibrillar glomerular deposits.伴有淀粉样蛋白染色阴性微纤维肾小球沉积物的肾小球病
Nephron. 1988;48(1):33-9. doi: 10.1159/000184865.
8
Minimal change glomerulonephropathy and interstitial infiltration with mycosis fungoides.
Am J Med. 1988 Apr;84(4):756-9. doi: 10.1016/0002-9343(88)90115-5.
9
Congo red-negative amyloidosis-like glomerulopathy.刚果红阴性淀粉样变性样肾小球病
Hum Pathol. 1985 Mar;16(3):220-4. doi: 10.1016/s0046-8177(85)80005-8.
10
Management of mycosis fungoides--current status and future prospects.蕈样肉芽肿的管理——现状与未来展望
Medicine (Baltimore). 1975 Jan;54(1):73-88. doi: 10.1097/00005792-197501000-00004.