Mathur M, Sharma S, Prasad D, Garsa R, Singh A P, Kumar R, Beniwal P, Agarwal D, Malhotra V
Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India.
Indian J Nephrol. 2015 Jan-Feb;25(1):8-11. doi: 10.4103/0971-4065.136889.
C3 glomerulopathy has recently been described as a distinct entity. The underlying mechanism is unregulated activation of the alternate pathway of the complement system. The most common presentation is with an acute nephritic syndrome. The diagnosis is made on immunofluoroscence by the presence of isolated or dominant C3 staining. In this retrospective study, renal biopsy data were collected from 2010 to 2013 patients with C3 glomerulopathy identified and their clinical and biochemical parameters analyzed. Out of 514 biopsies available for analysis, the incidence of C3 glomerulopathy was 1.16% (n = 6). The mean age of the presentation was 26 years and the average estimated glomerular filtration rate was 30.65 ml/min/1.73 m(2). The most common histopathological pattern was membranoproliferative glomerulonephritis (n = 4).
C3肾小球病最近被描述为一种独特的疾病实体。其潜在机制是补体系统替代途径的失控激活。最常见的表现是急性肾炎综合征。诊断通过免疫荧光检查发现孤立或占主导地位的C3染色来做出。在这项回顾性研究中,收集了2010年至2013年确诊为C3肾小球病患者的肾活检数据,并对其临床和生化参数进行了分析。在514份可供分析的活检样本中,C3肾小球病的发病率为1.16%(n = 6)。发病的平均年龄为26岁,平均估计肾小球滤过率为30.65 ml/min/1.73 m²。最常见的组织病理学模式是膜增生性肾小球肾炎(n = 4)。