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韦格纳肉芽肿病的肾脏受累。三例罕见病例报告。

Renal involvement in Wegener's granulomatosis. Report of three unusual cases.

作者信息

van der Woude F J, Hoorntje S J, Weening J J, van Overbeek J J, van der Hem G K

出版信息

Nephron. 1982;32(2):185-7. doi: 10.1159/000182841.

DOI:10.1159/000182841
PMID:7177296
Abstract

Three patients with rapidly progressive glomerulonephritis due to Wegener's granulomatosis are described. In one patient, acute renal failure was initially the sole manifestation of the disease. Treatment of the two other patients with prednisone and cyclophosphamide resulted in a remarkable recovery of renal function even after a prolonged period of hemodialysis. These cases illustrate that early and sustained treatment with prednisone and cyclophosphamide can restore an adequate renal function in patients with anuria or severe glomerulonephritis due to Wegener's disease.

摘要

本文描述了3例因韦格纳肉芽肿导致快速进展性肾小球肾炎的患者。其中1例患者,急性肾衰竭最初是该疾病的唯一表现。另外2例患者接受泼尼松和环磷酰胺治疗后,即使经过长时间的血液透析,肾功能仍显著恢复。这些病例表明,对于因韦格纳病导致无尿或严重肾小球肾炎的患者,早期持续使用泼尼松和环磷酰胺治疗可恢复足够的肾功能。

相似文献

1
Renal involvement in Wegener's granulomatosis. Report of three unusual cases.韦格纳肉芽肿病的肾脏受累。三例罕见病例报告。
Nephron. 1982;32(2):185-7. doi: 10.1159/000182841.
2
Renal failure in Wegener's granulomatosis: recovering following dialysis and cyclophosphamide-prednisone therapy.
Am J Med Sci. 1984 Jan-Feb;287(1):47-50. doi: 10.1097/00000441-198401000-00013.
3
Delayed form of Wegener's granulomatosis.韦格纳肉芽肿的迟发型
South Med J. 1981 Jul;74(7):882-3. doi: 10.1097/00007611-198107000-00029.
4
Periglomerular granulomatosis. A limited form of Wegener's granulomatosis with exclusive renal involvement?
Arch Intern Med. 1988 Jun;148(6):1377-9. doi: 10.1001/archinte.148.6.1377.
5
Severe glomerulonephritis with late emergence of classic Wegener's granulomatosis. Report of 4 cases and review of the literature.重症肾小球肾炎合并迟发性典型韦格纳肉芽肿:4例报告及文献复习
Medicine (Baltimore). 1987 May;66(3):181-91. doi: 10.1097/00005792-198705000-00002.
6
Prolonged anuria in Wegener's granulomatosis. Recovery of renal function.
JAMA. 1978 Sep 8;240(11):1174-5.
7
Diffuse pulmonary hemorrhage and rapidly progressive renal failure. An uncommon presentation of Wegener's granulomatosis.弥漫性肺出血和快速进展性肾衰竭。韦格纳肉芽肿的一种不常见表现。
Am J Med. 1979 May;66(5):894-8. doi: 10.1016/0002-9343(79)91149-5.
8
Acute upper gastrointestinal haemorrhage and colitis: an unusual presentation of Wegener's granulomatosis.急性上消化道出血和结肠炎:韦格纳肉芽肿的一种不寻常表现。
Eur J Gastroenterol Hepatol. 2001 Aug;13(8):993-5. doi: 10.1097/00042737-200108000-00023.
9
Rapidly progressive renal failure as the primary manifestation of Wegener's granulomatosis.
Am J Med Sci. 1978 Jan-Feb;275(1):109-12. doi: 10.1097/00000441-197801000-00014.
10
Wegener's granulomatosis presenting as dacryoadenitis.以泪腺炎形式表现的韦格纳肉芽肿病。
Cornea. 1991 Nov;10(6):542-5. doi: 10.1097/00003226-199111000-00015.

引用本文的文献

1
The current status of neutrophil cytoplasmic antibodies.中性粒细胞胞浆抗体的现状
Clin Exp Immunol. 1989 Nov;78(2):143-8.
2
The therapy of rapidly progressive glomerulonephritis.急进性肾小球肾炎的治疗
Klin Wochenschr. 1983 Oct 17;61(20):1001-10. doi: 10.1007/BF01537498.
3
Pitfalls with anti-neutrophil cytoplasmic antibodies (ANCA).
Clin Rheumatol. 1989 Dec;8(4):512-6. doi: 10.1007/BF02032106.