感染后肾小球肾炎表现为恶性高血压和血栓性微血管病的非典型病例
Atypical presentation of post infectious glomerulonephritis as malignant hypertension and thrombotic microangiopathy.
作者信息
Vankalakunti M, Malleshappa P, Hussain H, Marilingegouda A
机构信息
Department of Pathology, Manipal Hospital, Bangalore, India.
Department of Nephrology, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Bellur, India.
出版信息
Indian J Nephrol. 2014 Mar;24(2):110-3. doi: 10.4103/0971-4065.127900.
Infection-related glomerulonephritis presents commonly as acute nephritic illness, hypertension, hypocomplementinemia following an episode of pharyngitis or pyoderma. Atypical features like thrombotic microangiopathy (TMA), produced by neuraminidase antigen targeting endothelium have been described rarely. We report a case of TMA secondary to malignant hypertension, coexisting with post infectious glomerulonephritis.
感染相关性肾小球肾炎通常表现为急性肾炎、高血压、咽炎或脓皮病发作后出现低补体血症。由靶向内皮细胞的神经氨酸酶抗原产生的血栓性微血管病（TMA）等非典型特征很少被描述。我们报告一例继发于恶性高血压并与感染后肾小球肾炎并存的TMA病例。
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