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肾髓质中的尿酸盐沉积。患病率及相关性。

Urate deposits in the renal medulla. Prevalence and associations.

作者信息

Linnane J W, Burry A F, Emmerson B T

出版信息

Nephron. 1981;29(5-6):216-22. doi: 10.1159/000182373.

DOI:10.1159/000182373
PMID:7322250
Abstract

Urate deposits within microtophi were found in 8% of unselected autopsies in Brisbane, Australia. Significant association were demonstrated with (a) a history of gouty arthritis and (b) the existence of nitrogen retention and renal disease of apparently primary, but not gouty, origin. However, in 26% of the patients, a retrospective survey of their medical records did not reveal any causative factor. The possible aetiological importance of the urine flow rate is stressed. The presence of medullary urate deposits at autopsy was most frequently associated with a history of gout or the presence of pre-existing and non-gouty renal disease, although no aetiological factor could be determined in a quarter of the cases.

摘要

在澳大利亚布里斯班,对未经挑选的尸体解剖进行检查发现,8%的病例存在微痛风石内尿酸盐沉积。研究表明,这与以下因素存在显著关联:(a)痛风性关节炎病史;(b)存在氮潴留以及明显原发性而非痛风性起源的肾脏疾病。然而,在26%的患者中,对其病历进行回顾性调查未发现任何致病因素。文中强调了尿流率在病因学上可能具有的重要性。尸检时发现髓质尿酸盐沉积最常与痛风病史或先前存在的非痛风性肾脏疾病有关,尽管在四分之一的病例中无法确定病因。

相似文献

1
Urate deposits in the renal medulla. Prevalence and associations.肾髓质中的尿酸盐沉积。患病率及相关性。
Nephron. 1981;29(5-6):216-22. doi: 10.1159/000182373.
2
Gout, uric acid and renal disease.痛风、尿酸与肾脏疾病。
Med J Aust. 1976 Mar 20;1(12):403-5. doi: 10.5694/j.1326-5377.1976.tb140703.x.
3
[Gouty tophi in the renal medulla in chronic uremia. Study of 17 cases discovered from among 62 autopsies].
Nephron. 1967;4(6):356-70. doi: 10.1159/000179595.
4
Some unusual features of gouty arthritis in females.女性痛风性关节炎的一些不寻常特征。
Semin Arthritis Rheum. 1977 Feb;6(3):247-55. doi: 10.1016/0049-0172(77)90022-1.
5
A preliminary report of nephropathy in hyperuricemic rats.高尿酸血症大鼠肾病的初步报告。
Lab Invest. 1974 Jun;30(6):716-22.
6
[Urate nephrolithiasis. Cause of consequence?].[尿酸盐肾结石。是病因还是结果?]
Fortschr Med. 1976 Jul 15;94(20-21):1160-4.
7
Urate deposits without gouty arthritis.无痛风性关节炎的尿酸盐沉积
Adv Exp Med Biol. 1984;165 Pt A:133-6. doi: 10.1007/978-1-4684-4553-4_24.
8
Familial occurrence of hyperuricemia, gout, and medullary cystic disease.
Arch Intern Med. 1978 Nov;138(11):1614-7.
9
[Gout, archetype of diseases caused by deposits].[痛风,由沉积物引起的疾病的原型]
Ann Biol Clin (Paris). 1972;30(6):637-67.
10
[Urate nephropathy].
Recenti Prog Med. 1981 Jun;70(6):575-94.

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