Mallinson W J, Fuller R W, Levison D A, Baker L R, Cattell W R
Q J Med. 1981 Spring;50(198):137-48.
Three immigrant patients are described with diffuse interstitial renal tuberculosis. Two had associated pulmonary tuberculosis and the third had tuberculous peritonitis. Excretion urography gave no clue to the diagnosis. At the time of diagnosis by renal biopsy two patients had severe chronic renal failure. In one, renal impairment had progressed during the course of anti-tuberculous treatment. The third patient showed marked fluctuations in renal function, and improvement appeared to relate to concomitant corticosteroid therapy. The importance of this particular form of renal tuberculosis has not previously been emphasized.
本文描述了3例患有弥漫性间质性肾结核的移民患者。其中2例合并肺结核，第3例合并结核性腹膜炎。排泄性尿路造影未提供诊断线索。在通过肾活检确诊时，2例患者已出现严重的慢性肾衰竭。其中1例患者在抗结核治疗过程中肾功能损害有所进展。第3例患者的肾功能出现明显波动，其改善似乎与同时使用皮质类固醇治疗有关。这种特殊类型的肾结核的重要性此前尚未得到强调。
