Chan W C, Tsao Y C
J Clin Pathol. 1966 Sep;19(5):464-9. doi: 10.1136/jcp.19.5.464.
Nine cases of diffuse membranous glomerulonephritis detected among 90 renal biopsies from children with persistent proteinuria and one necropsy case of a young child who died of chronic membranous glomerulonephritis with uraemia were studied by a variety of techniques. Clinical presentation varies within this single morphological entity and the response to steroid therapy is not yet predictable on either clinical or morphological criteria. Correlation is demonstrated between therapeutic responses and the degree of selectivity of the proteinuria which was determined by studying the relative protein clearances with an immunochemical technique.
对90例持续性蛋白尿患儿肾活检中检测出的9例弥漫性膜性肾小球肾炎病例以及1例死于慢性膜性肾小球肾炎伴尿毒症的幼儿尸检病例,采用了多种技术进行研究。在这单一的形态学类型中,临床表现存在差异,而且无论是根据临床标准还是形态学标准,对类固醇疗法的反应目前都无法预测。通过免疫化学技术研究相对蛋白清除率来确定蛋白尿的选择性程度,结果显示治疗反应与蛋白尿选择性程度之间存在相关性。