类风湿关节炎中的血尿：与系膜增生性肾小球肾炎的关联。

Hordon L D, Sellars L, Morley A R, Wilkinson R, Thompson M, Griffiths I D

Ann Rheum Dis. 1984 Jun;43(3):440-3. doi: 10.1136/ard.43.3.440.

Twenty-four patients with rheumatoid arthritis and isolated haematuria were investigated for the cause of their haematuria. In 3 patients local urological disorders were identified, including a pelvicaliceal carcinoma. Renal biopsies were performed on the remaining 21 patients, and the most common abnormality found was a mild mesangial glomerulonephritis (71%). Immunofluorescence and electron microscopy in these patients usually gave normal results. The lesions occurred independently of gold or D-penicillamine therapy and were not associated with impairment of glomerular function.

对24例类风湿性关节炎伴孤立性血尿患者的血尿原因进行了调查。3例患者发现有局部泌尿系统疾病，包括肾盂癌。对其余21例患者进行了肾活检，最常见的异常是轻度系膜增生性肾小球肾炎（71%）。这些患者的免疫荧光和电子显微镜检查结果通常正常。这些病变与金制剂或青霉胺治疗无关，也与肾小球功能损害无关。