Cohen A J, Rosenstein E D
Arch Intern Med. 1985 Mar;145(3):554-6.
A 59-year-old man had disseminated tuberculosis and microscopic hematuria, red cell casts, and normal renal function. Renal biopsy revealed focal mesangial proliferation with exclusively IgA deposits, diagnostic of IgA nephropathy. After institution of antituberculous therapy, the urinary abnormalities resolved. There is evidence to suggest that tuberculosis, in addition to other conditions associated with mucosal exposure to antigens producing an IgA immune response, can result in IgA nephropathy. This glomerulopathy is reported as a potential renal complication of concurrent mycobacterial infection.
一名59岁男性患有播散性肺结核，伴有镜下血尿、红细胞管型，肾功能正常。肾活检显示局灶性系膜增生，仅存在IgA沉积，诊断为IgA肾病。抗结核治疗开始后，尿液异常消失。有证据表明，除了其他与黏膜接触产生IgA免疫反应的抗原相关的疾病外，结核病也可导致IgA肾病。这种肾小球病被报道为并发分枝杆菌感染的潜在肾脏并发症。
