Dvoretsky L I, Krivushkin S A, Stolyarevich E S, Skrynnikova E A, Stepanchenko A P, Kolendo S E
Sechenov First Moscow State Medical University (Sechenov University).
Yudin City Clinical Hospital.
Ter Arkh. 2020 Jul 9;92(6):81-83. doi: 10.26442/00403660.2020.06.000608.
A clinical observation is presented of a patient with pulmonary sarcoidosis, who was diagnosed with kidney damage after three years with the development of chronic renal failure and the need for replacement therapy. A histological examination of the renal biopsy revealed a granulomatous process in the interstitial tissue, which was regarded as an extrapulmonary manifestation of sarcoidosis. Pulse therapy with glucocorticoids was prescribed and an attempt was made to reduce hemodialysis sessions.
本文介绍了一名肺结节病患者的临床观察情况。该患者在患病三年后被诊断出肾脏损害，出现慢性肾衰竭并需要替代治疗。肾脏活检的组织学检查显示间质组织中有肉芽肿性病变，这被视为结节病的肺外表现。给予糖皮质激素脉冲治疗，并尝试减少血液透析次数。
