Gold C H
S Afr Med J. 1979 Dec 8;56(24):1048-50.
A patient with a single functioning kidney presented with the nephrotic syndrome. On the basis of highly selective proteinuria, a diagnosis was made of lipoid nephrosis. Steroid therapy over a 2-year period did not control the disease. The patient eventually developed end-stage renal failure and malignant hypertension. Nephrectomy was performed to control the hypertension. Histological examination showed congenital dysplasia in one kidney and sclerosing glomerulonephritis, malignant nephrosclerosis, as well as dysplastic changes in the other.
一名仅有一个功能肾的患者出现了肾病综合征。基于高度选择性蛋白尿，诊断为脂性肾病。两年的类固醇治疗未能控制该疾病。患者最终发展为终末期肾衰竭和恶性高血压。为控制高血压进行了肾切除术。组织学检查显示一侧肾脏为先天性发育异常，另一侧为硬化性肾小球肾炎、恶性肾硬化以及发育异常改变。
