Luo Jiao, Liu Cheng, Lv Qing-Jian, He Ting, Qiang Xing, Li Yi, Huang Qi-Mi, He Jia-Lin
Department of Gastroenterology, Xinqiao Hospital, Army Medical University, Chongqing, China.
Department of Nephrology, Xinqiao Hospital, Army Medical University, Chongqing, China.
Front Med (Lausanne). 2023 Jan 25;10:1014261. doi: 10.3389/fmed.2023.1014261. eCollection 2023.
Mixed cryoglobulinemia refers to the serum presence of a variety of cryoglobulins, which are defined as immunoglobulins that precipitate at temperatures of < 37°C. The most common cause of mixed cryoglobulinemia is hepatitis C virus (HCV), while other infections, including hepatitis B virus (HBV) and HIV infections, and lymphoproliferative and autoimmune disorders have also been associated with the disease. We reported a rare case of type II-III mixed cryoglobulinemia caused by alcoholic cirrhosis. We need to increase the awareness of and facilitate the early identification of mixed cryoglobulinemia in our clinical study when encountering a patient with liver cirrhosis combined with renal impairment so that treatment can begin early to improve the success rate of therapy and reduce the fatality rate in a potentially life-saving therapy.
混合性冷球蛋白血症是指血清中存在多种冷球蛋白,冷球蛋白被定义为在温度低于37°C时沉淀的免疫球蛋白。混合性冷球蛋白血症最常见的病因是丙型肝炎病毒(HCV),而其他感染,包括乙型肝炎病毒(HBV)和HIV感染,以及淋巴增殖性和自身免疫性疾病也与该疾病有关。我们报告了一例由酒精性肝硬化引起的II-III型混合性冷球蛋白血症的罕见病例。在我们的临床研究中,当遇到肝硬化合并肾功能损害的患者时,我们需要提高对混合性冷球蛋白血症的认识并促进其早期识别,以便尽早开始治疗,提高治疗成功率,并降低这种可能挽救生命的治疗中的死亡率。