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与肺结核相关的塌陷性肾小球病

Collapsing glomerulopathy associated with pulmonary tuberculosis.

作者信息

Srinivasaprasad N D, Chandramohan G, Praveen V, Fernando M E

机构信息

Department of Nephrology, Stanley Medical College, Chennai, Tamil Nadu, India.

出版信息

Indian J Nephrol. 2016 Sep;26(5):373-375. doi: 10.4103/0971-4065.175981.

Abstract

Collapsing glomerulopathy (CG) usually presents with reduced glomerular filtration rate, heavy proteinuria and has unfavorable prognosis. Numerous associations with CG are found. We encountered a case of CG associated with pulmonary tuberculosis presenting with proteinuria and dialysis-requiring severe renal failure. Our patient made partial recovery of his renal function and became dialysis-independent after antituberculous therapy and oral steroids. Long-term follow-up is needed to assess the progression of the disease.

摘要

塌陷性肾小球病(CG)通常表现为肾小球滤过率降低、大量蛋白尿,且预后不佳。已发现CG与多种因素相关。我们遇到一例与肺结核相关的CG病例,该患者表现为蛋白尿及需要透析治疗的严重肾衰竭。经抗结核治疗及口服类固醇药物后,我们的患者肾功能部分恢复,不再需要透析。需要进行长期随访以评估疾病的进展情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce8/5015519/e614749ccc25/IJN-26-373-g001.jpg

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