Nayak S, Kataria A, Sharma M K, Rastogi A, Gupta E, Singh A, Tiwari S C
Department of Nephrology, Institute of Liver and Biliary Sciences, New Delhi, India.
Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India.
Indian J Nephrol. 2018 Nov-Dec;28(6):462-464. doi: 10.4103/ijn.IJN_235_17.
Hepatitis C virus (HCV) infection has been shown to affect kidneys with various histopathological pattern on the kidney biopsy. These commonly include a membranoproliferative glomerulonephritis (MPGN) pattern with mixed cryoglobulinemia (CG), thrombotic microangiopathy, membranous nephropathy, and vasculitis affecting medium and small vessels of the kidneys causing polyarteritis nodosa. It has been rarely associated with MPGN without detectable CG. We present one such patient who presented to us with HCV-associated MPGN without detectable CG, who recovered completely with directly acting antiviral therapy without any immunosuppression.
丙型肝炎病毒(HCV)感染已被证实会影响肾脏,肾脏活检显示出各种组织病理学模式。这些模式通常包括伴有混合性冷球蛋白血症(CG)的膜增生性肾小球肾炎(MPGN)模式、血栓性微血管病、膜性肾病以及影响肾脏中小血管导致结节性多动脉炎的血管炎。它很少与未检测到CG的MPGN相关。我们报告了这样一位患者,他因HCV相关的MPGN就诊,未检测到CG,在未进行任何免疫抑制的情况下,通过直接抗病毒治疗完全康复。