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[过敏性紫癜性肾病。55例的长期发展情况]

[Nephropathy in Schoenlein-Henoch purpura. Long-term developmental aspects in 55 cases].

作者信息

Vilalta R, Callis L, Vila A, Gallego S

出版信息

An Esp Pediatr. 1984 Aug;21(2):107-12.

PMID:6497188
Abstract

Fifty five patients with Schöelein-Henoch nephropathy were reviewed. These patients were divided into five groups according to the clinical picture initially presented: 1. Hematuria with proteinuria. 2. Hematuria with nephrotic syndrome. 3. Isolated hematuria. 4. Hematuria, nephrotic syndrome and renal failure. 5. Proteinuria. From a histopathological point of view, they were classified into six groups according to ISKDC criteria. A strong correlation was found between clinical presentation and histological lesion. The worst prognosis corresponded to patients with nephrotic syndrome and renal failure, whose biopsy revealed more than 75% of glomeruli with epithelial crescents.

摘要

对55例过敏性紫癜性肾炎患者进行了回顾性研究。这些患者根据最初呈现的临床表现分为五组:1. 血尿伴蛋白尿。2. 血尿伴肾病综合征。3. 孤立性血尿。4. 血尿、肾病综合征和肾衰竭。5. 蛋白尿。从组织病理学角度来看,根据国际儿童肾脏病研究组(ISKDC)标准将他们分为六组。发现临床表现与组织学病变之间存在密切相关性。预后最差的是患有肾病综合征和肾衰竭的患者,其活检显示超过75%的肾小球有上皮新月体形成。

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