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[儿童 Schönlein-Henoch 肾病。31 例临床与组织学研究]

[Schoenlein-Henoch nephropathy in childhood. Clinical and histologic study of 31 cases].

作者信息

Camacho Díaz J A, García García L, Giménez Llort A, López Cacho F, Guardia Sanahuja E, Vila Torres J

出版信息

An Esp Pediatr. 1985 Jan;22(1):12-8.

PMID:3985493
Abstract

A series of 31 cases of children affected by nephropathy, out of a total of 120 presenting with Schönlein-Henoch syndrome, observed in a period of seven years is reviewed. 87% of the patients evidenced renal involvement in the first month of disease. The manifestations of nephropathy were: Isolated hematuria. Hematuria-proteinuria less than 40 mg/m2/h. Nephrotic syndrome. Hematuria-nephrotic syndrome. Hematuria-nephrotic syndrome renal insufficiency. Biopsy was performed in 13 cases (41.9%). With regard to the ISKDC rules, the histological classification was: type I, one patient; type II, three patients; type III, seven patients; type V, one patient; type VI, one patient. Evolution was favorable in 30 cases, independently of treatment applied, and a complete remission was obtained in all of them.

摘要

回顾了7年间共120例过敏性紫癜患儿中的31例肾病患儿。87%的患者在疾病的第一个月就出现了肾脏受累。肾病的表现为:孤立性血尿。血尿-蛋白尿低于40mg/m²/h。肾病综合征。血尿-肾病综合征。血尿-肾病综合征伴肾功能不全。13例(41.9%)进行了活检。根据国际儿童肾脏病研究组(ISKDC)的标准,组织学分类为:Ⅰ型1例;Ⅱ型3例;Ⅲ型7例;Ⅴ型1例;Ⅵ型1例。30例患儿病情进展良好,与所采用的治疗方法无关,且全部获得完全缓解。

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