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[肾淀粉样变性的临床变异型与伪装]

[Clinical variants and masks of renal amyloidosis].

作者信息

Shulutko B I, Tsykin D B

出版信息

Ter Arkh. 1987;59(10):94-7.

PMID:3433229
Abstract

A study of the clinical picture of renal amyloidosis in 110 patients has shown a possibility of the existence of different variants of its course making it similar to the other nephropathies. Its diagnostic difficulty is determined by relative significance of "aggravated" anamnesis (in 22% of the patients it was absent at all, and its presence did not exclude the development of other renal diseases). Correct diagnosis can be established using kidney biopsy only as amyloidosis in the rectal mucosa and hepatic tissue is detected much less frequently.

摘要

对110例肾淀粉样变性患者临床症状的研究表明,该病存在不同病程变体,这使其与其他肾病相似。其诊断困难在于“加重”病史的相对重要性(22%的患者完全没有该病史,即便存在也不能排除其他肾脏疾病的发生)。仅通过肾活检才能确诊,因为直肠黏膜和肝组织中淀粉样变性的检出率要低得多。

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