Houssin A, Saint-André J P, Buzelin F, Guenel J
Ann Med Interne (Paris). 1981;132(1):44-7.
We report a case of partial lipodystrophy (P.L.D.) of the cephalothoracic type associated with low C3 serum level. In spite of the absence of renal symptom a renal biopsy was performed which demonstrated dense deposits disease characterized by the lack of cellular proliferation and highly segmentary deposits similar to those observed in remission after renal transplantation for these disease. A review of the literature shows the frequent occurrence of this pathological association. In general P.L.D. and complement abnormalities are thought to precede nephropathy. However chronological relationship between the former and the later must be interpreted cautiously as our case shows that dense deposits disease can be associated with P.L.D. in the lack of clinical evidence of renal disorder.
我们报告一例头胸型部分脂肪营养不良(P.L.D.)合并血清C3水平降低的病例。尽管没有肾脏症状,但仍进行了肾活检,结果显示为致密沉积物病,其特征为缺乏细胞增殖以及高度节段性沉积物,类似于这些疾病肾移植后缓解期所观察到的情况。文献回顾表明这种病理关联经常出现。一般认为P.L.D.和补体异常先于肾病出现。然而,正如我们的病例所示,在缺乏肾脏疾病临床证据的情况下,致密沉积物病可与P.L.D.相关,因此必须谨慎解释前者与后者之间的时间关系。