Tomino Y, Yagame M, Omata F, Nomoto Y, Sakai H
Department of Internal Medicine, School of Medicine, Tokai University, Kanagawa-Ken, Japan.
Nephron. 1987;47(4):258-61. doi: 10.1159/000184520.
We report here an adult case of IgA nephropathy associated with episodes of recurrent tonsillitis. Various kinds of viral antigens were examined in the renal and tonsillar tissues by immunofluorescence. Granular depositions of adeno- and herpes simplex viral antigens were detected in the glomerular mesangial areas and in the tonsillar epithelial cells by immunofluorescence. IgA and IgA1 deposits were also observed in the glomerular mesangial areas. It was suggested that IgA nephropathy might be caused by multiple antigenic substances, including adeno- and/or herpes simplex viruses, located in the tonsillar regions.
我们在此报告一例与复发性扁桃体炎发作相关的成人IgA肾病病例。通过免疫荧光法检测了肾脏和扁桃体组织中的各种病毒抗原。免疫荧光法在肾小球系膜区和扁桃体上皮细胞中检测到腺病毒和单纯疱疹病毒抗原的颗粒状沉积。在肾小球系膜区也观察到IgA和IgA1沉积。提示IgA肾病可能由位于扁桃体区域的多种抗原物质引起,包括腺病毒和/或单纯疱疹病毒。