伴有结节性多动脉炎和多发性骨髓瘤的急性肾衰竭
Acute renal failure with polyarteritis nodosa and multiple myeloma.
作者信息
Williams A J, Newland A C, Marsh F P
出版信息
Postgrad Med J. 1985 May;61(715):445-8. doi: 10.1136/pgmj.61.715.445.
Abstract
A patient who presented with acute renal failure due to renal cortical necrosis is described. Renal biopsy showed cortical infarction and angiography demonstrated aneurysms in the renal, splenic and hepatic circulations. Concurrently he was found to have an IgA kappa paraprotein with bone marrow changes diagnostic of multiple myeloma. He was treated with haemodialysis, immunosuppressive drugs and plasma exchange but died 3 months after presentation.
摘要
描述了一名因肾皮质坏死导致急性肾衰竭的患者。肾活检显示皮质梗死，血管造影显示肾、脾和肝循环中有动脉瘤。同时发现他存在IgA κ副蛋白，骨髓改变诊断为多发性骨髓瘤。他接受了血液透析、免疫抑制药物和血浆置换治疗，但在就诊后3个月死亡。
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