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重型地中海贫血患儿出现肾病综合征的膜性肾病

Membranous nephropathy presenting with nephrotic syndrome in a child with thalassemia major.

作者信息

Yavuz Sevgi, Anarat Ali, Bayazıt Aysun Karabay, Karagun Barbaros Şahin, Yılmaz Sema, Kılınc Yurdanur, Gonlusen Gulfiliz, Kuyucu Yurdun

机构信息

Division of Pediatric Nephrology, Cukurova University School of Medicine, Adana, Turkey.

Division of Pediatric Haematology, Cukurova University School of Medicine, Adana, Turkey.

出版信息

Pediatr Int. 2015 Aug;57(4):711-3. doi: 10.1111/ped.12572. Epub 2015 Feb 24.

Abstract

Few data on the renal effects of thalassemia syndrome are available in the literature. Recent clinical studies identified proximal tubular damage and glomerular filtration abnormalities in thalassemia. Iron-chelating agents might be nephrotoxic as well, but proven glomerular injury, either due to anemia or chelating therapy, has not previously been demonstrated in thalassemia patients. Here, we report the first thalassemia patient presenting with nephrotic syndrome to be diagnosed with membranous nephropathy in the literature.

摘要

文献中关于地中海贫血综合征肾脏影响的数据很少。最近的临床研究发现地中海贫血患者存在近端肾小管损伤和肾小球滤过异常。铁螯合剂也可能具有肾毒性,但此前在地中海贫血患者中尚未证实因贫血或螯合治疗导致的肾小球损伤。在此,我们报告了文献中首例表现为肾病综合征并被诊断为膜性肾病的地中海贫血患者。

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