Robeva R, Neshev Kh
Vutr Boles. 1987;26(5):117-20.
A case of a 48 years old man with a combination of immunoglobulin A glomerulonephritis and ankylosing spondylitis is reported. The patient presents with the typical clinical and X-ray data of Bechterew's disease and the kidney biopsy shows diffuse mesangioproliferative glomerulonephritis with IgA precipitates. The rheumatic manifestations precede the hematuria and proteinuria. High serum IgA and arterial hypertension are present. It is suggested that the combination of these two diseases is more frequent since common pathogenetic mechanisms may play a leading role.
报告了一例48岁男性患者，患有免疫球蛋白A肾小球肾炎合并强直性脊柱炎。该患者呈现出典型的贝赫切特病临床和X线表现，肾脏活检显示弥漫性系膜增生性肾小球肾炎伴IgA沉淀。风湿性表现先于血尿和蛋白尿出现。存在高血清IgA和动脉高血压。提示这两种疾病的合并更为常见，因为共同的发病机制可能起主导作用。
