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中西医结合治疗足细胞内褶性肾小球病1例:病例报告

Integrated Chinese and Western medicine in the treatment of a patient with podocyte infolding glomerulopathy: A case report.

作者信息

Chang Mei-Ying, Zhang Yu, Li Ming-Xu, Xuan Fang

机构信息

Department of Nephrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China.

Department of Nephrology, First Medical Center of Chinese PLA General Hospital, Nephrology Institute of the Chinese People's Liberation Army, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney Disease Research, Beijing 100853, China.

出版信息

World J Clin Cases. 2023 Jul 6;11(19):4684-4691. doi: 10.12998/wjcc.v11.i19.4684.

DOI:10.12998/wjcc.v11.i19.4684
PMID:37469726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10353505/
Abstract

BACKGROUND

Podocyte infolding glomerulopathy (PIG) is a newly described and rare glomerular disease. To date, only approximately 40 cases have been reported globally.

CASE SUMMARY

A 26-year-old female patient presented to our hospital with a complaint of intermittent edema of both lower limbs over the past 2 years. The patient was diagnosed with PIG. She was prescribed corticosteroid therapy in other hospitals during the initial stage, to which she had responded poorly and had developed femoral head necrosis. Therefore, we administered immunosuppressants, renin-angiotensin system inhibitors, combined with traditional Chinese medicine. The patient was followed for 1 year, during which her clinical condition improved.

CONCLUSION

Integrated Chinese and Western medicine may be effective for PIG treatment, which requires active intervention to improve prognosis.

摘要

背景

足细胞内褶性肾小球病(PIG)是一种新描述的罕见肾小球疾病。迄今为止,全球仅报道了约40例病例。

病例摘要

一名26岁女性患者因过去2年双下肢间歇性水肿前来我院就诊。该患者被诊断为PIG。初始阶段她在其他医院接受了糖皮质激素治疗,但反应不佳并发生了股骨头坏死。因此,我们给予免疫抑制剂、肾素-血管紧张素系统抑制剂,并结合中药治疗。对该患者进行了1年的随访,在此期间她的临床状况有所改善。

结论

中西医结合治疗PIG可能有效,需要积极干预以改善预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e01/10353505/a8e6adb15711/WJCC-11-4684-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e01/10353505/009b29f876d9/WJCC-11-4684-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e01/10353505/a8e6adb15711/WJCC-11-4684-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e01/10353505/009b29f876d9/WJCC-11-4684-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e01/10353505/a8e6adb15711/WJCC-11-4684-g002.jpg

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本文引用的文献

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BMC Nephrol. 2021 Dec 11;22(1):410. doi: 10.1186/s12882-021-02615-4.
2
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Can J Kidney Health Dis. 2021 Oct 12;8:20543581211048357. doi: 10.1177/20543581211048357. eCollection 2021.
3
Podocytic Infolding Glomerulopathy in a Patient with Phospholipase A2 Receptor-Positive Membranous Nephropathy and Review of the Literature.
足细胞内褶肾小球病合并磷脂酶 A2 受体阳性膜性肾病一例并文献复习
Nephron. 2021;145(5):496-502. doi: 10.1159/000515769. Epub 2021 May 7.
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Cell invasion in glomerular basement membrane: infolding glomerulopathy.肾小球基底膜中的细胞侵袭:折叠性肾小球病。
Kidney Int. 2020 Dec;98(6):1623. doi: 10.1016/j.kint.2020.04.035.
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Podocytic infolding in Schimke immuno-osseous dysplasia with novel SMARCAL1 mutations: a case report.Schimke 免疫骨发育不良伴新型 SMARCAL1 突变的足细胞内褶:一例报告。
BMC Nephrol. 2020 May 11;21(1):170. doi: 10.1186/s12882-020-01809-6.
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Podocyte infolding glomerulopathy with undifferentiated connective tissue disease: a case report.足细胞褶襞性肾小球病伴未分化结缔组织病:病例报告。
Ultrastruct Pathol. 2020 Mar 3;44(2):245-248. doi: 10.1080/01913123.2020.1739791. Epub 2020 Mar 14.
7
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BMC Nephrol. 2019 Aug 22;20(1):326. doi: 10.1186/s12882-019-1478-8.
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Clin Rheumatol. 2019 May;38(5):1521-1528. doi: 10.1007/s10067-019-04504-6. Epub 2019 Mar 16.
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