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一名强直性脊柱炎患者出现原发性局灶节段性肾小球硬化:一种罕见的表现,在肾病综合征中需要进行广泛的鉴别诊断。

Primary focal segmental glomerulosclerosis in a patient with ankylosing spondylitis: A rare presentation requiring a broad differential in nephrotic syndrome.

作者信息

Zardoost Pooya, Tyabuddin Sana, Cantu Austin, Abu-Jubara Musa, Mittlesteadt Jackson, Wehrum Henry

机构信息

OhioHealth Doctors Hospital Columbus Ohio USA.

Ohio University Heritage College of Osteopathic Medicine Dublin Ohio USA.

出版信息

Clin Case Rep. 2024 May 14;12(5):e8901. doi: 10.1002/ccr3.8901. eCollection 2024 May.

Abstract

Ankylosing spondylitis (AS) presents with renal failure and proteinuria in a minority of cases, usually due to secondary amyloidosis or IgA nephropathy. While focal segmental glomerulosclerosis (FSGS) is less common, it should still be in the differential regardless of the patient's clinical profile.

摘要

少数情况下,强直性脊柱炎(AS)会出现肾衰竭和蛋白尿,通常是由继发性淀粉样变性或IgA肾病引起的。虽然局灶节段性肾小球硬化(FSGS)较少见,但无论患者的临床情况如何,仍应将其列入鉴别诊断范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/11093901/e07488d3c8ac/CCR3-12-e8901-g001.jpg

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