一名8岁男孩新冠病毒感染相关肾病综合征的自发缓解
Spontaneous remission of nephrotic syndrome associated with COVID-19 infection in an 8-year-old boy.
作者信息
Akyol Aylin Kayalı, Dinç Gamze Akça, Mustafaoğlu Özlem, Yahşi Aysun, Bayhan Gülsüm İclal, Özlü Sare Gülfem
机构信息
Department of Pediatrics, Ankara City Hospital, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Türkiye.
Division of Pediatric Nephrology, Ankara City Hospital, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Türkiye.
出版信息
Turk J Pediatr. 2022;64(6):1117-1121. doi: 10.24953/turkjped.2021.4559.
BACKGROUND
It is already known that viral infections, exclusively upper respiratory tract infections may trigger relapses of nephrotic syndrome. Recently, COVID-19 disease has also been reported to be related with relapse of nephrotic syndrome in a few pediatric cases Case. Here we present an 8-year-old boy who had relapse of nephrotic syndrome due to COVID-19 infection. He was asymptomatic except for mild edema. He was managed supportively, no medication was started and went into spontaneous remission in 7 days.
CONCLUSIONS
Viral infections particularly upper respiratory tract infections may trigger relapse of nephrotic syndrome. COVID-19 has also been reported to be related with relapses of nephrotic syndrome in a few pediatric cases. Spontaneous remission in our patient indicates the importance of close monitoring of patients before starting long term treatment with steroids.
背景
已知病毒感染，尤其是上呼吸道感染可能会引发肾病综合征的复发。最近，也有报道称在一些儿科病例中，新冠病毒疾病与肾病综合征的复发有关。在此，我们报告一名8岁男孩，他因感染新冠病毒而出现肾病综合征复发。除轻度水肿外，他没有任何症状。我们对他进行了支持性治疗，未开始用药，他在7天内实现了自发缓解。
结论
病毒感染，尤其是上呼吸道感染可能会引发肾病综合征的复发。也有报道称在一些儿科病例中，新冠病毒与肾病综合征的复发有关。我们患者的自发缓解表明在开始使用类固醇进行长期治疗之前，密切监测患者的重要性。
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