结节病肉芽肿性肾炎伴孤立性可逆性肾衰竭。病例报告。

Sarcoid granulomatous nephritis with isolated and reversible renal failure. A case report.

作者信息

Allegri L, Olivetti G, David S, Concari G M, Dascola G, Savazzi G

出版信息

Nephron. 1980;25(4):207-8. doi: 10.1159/000181783.

Abstract

A case of reversible renal failure due to sarcoid granulomatous nephritis is described. The patient, a 21-year-old student, was admitted with renal insuffciency (GFR = 25 ml/min); no damage was found in any organ except for slightly enlarged pulmonary hilar lymph nodes. Repeated percutaneous renal biopsies showed an interstitial noncaseating granulomatous nephritis. Steroid therapy provided rapid improvement and the diagnosis of sarcoidosis was established. Complete recovery of renal function with normal urinalyses was seen.

摘要

本文描述了一例因结节病肉芽肿性肾炎导致的可逆性肾衰竭病例。患者为一名21岁的学生，因肾功能不全（肾小球滤过率 = 25 ml/分钟）入院；除肺门淋巴结轻度肿大外，未发现其他器官有损伤。多次经皮肾活检显示为间质性非干酪样肉芽肿性肾炎。类固醇治疗使病情迅速改善，并确诊为结节病。肾功能完全恢复，尿液分析正常。