Pavan Malleshappa, Ranganath Ravi, Chaudhari Anup P
Department of Nephrology, Vaatsalya Hospital, Bharathi Healthcare Complex, Hassan, Karnataka, India.
Iran J Kidney Dis. 2012 May;6(3):219-21.
Almost all kidney transplant recipients with diabetes mellitus will eventually develop recurrence of diabetic nephropathy in their allograft. Despite this high incidence, there are very few reported cases of diabetic nephropathy of diffuse type, and the nodular sclerosis form is uncommon. Recurrence of diabetic nephropathy of nodular glomerulosclerosis type usually occurs during the second decade of transplantation. We report a rare case of diabetic nodular glomerulosclerosis developing 5 years after transplantation, leading to progressive kidney dysfunction and graft loss.
几乎所有患有糖尿病的肾移植受者最终都会在其移植肾中出现糖尿病肾病复发。尽管发病率很高，但弥漫型糖尿病肾病的报道病例却非常少，结节性硬化型则较为罕见。结节性肾小球硬化型糖尿病肾病的复发通常发生在移植后的第二个十年。我们报告了一例罕见的糖尿病结节性肾小球硬化病例，该病例在移植后5年发生，导致进行性肾功能不全和移植肾失功。
