Olsen S
Zentralbl Allg Pathol. 1986;132(5-6):365-83.
An overview is presented of the morphologic patterns associated with drug or toxin induced renal lesions. Most prominent are the arteritis, glomerulonephritis, tubular necrosis, renal cortical necrosis, intratubular crystal deposition, acute and chronic interstitial fibrosis, interstitial granulomas and acute renal insufficiency with normal renal histology. Findings are correlated with the nature of the noxious substances. Sources of error arising from the insufficient specificity of the morphological findings and the differential diagnostic considerations are fully and critically presented. The review can serve to direct the recognition of etiologic relationships through the interpretation of morphological findings in the kidney.
本文概述了与药物或毒素所致肾损害相关的形态学模式。最显著的有动脉炎、肾小球肾炎、肾小管坏死、肾皮质坏死、肾小管内晶体沉积、急性和慢性间质纤维化、间质肉芽肿以及肾组织学正常的急性肾功能不全。研究结果与有害物质的性质相关。文中全面且批判性地阐述了形态学结果特异性不足所导致的误差来源以及鉴别诊断的考量因素。该综述有助于通过解读肾脏的形态学结果来指导对病因关系的认识。