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[过敏性紫癜继发肾病的免疫病理学]

[Immunopathology of nephropathy secondary to anaphylactoid purpura].

作者信息

Mota Hernández F, Alcalá O, Zúñiga V, Gordillo G

出版信息

Bol Med Hosp Infant Mex. 1976 Mar-Apr;33(2):385-94.

PMID:769797
Abstract

With the purpose of contributing to the study of the pathogenesis of the nephropathy of anaphylactoid purpura (NPA), investigation was made of the presence and extension of immunoglobuline deposits, complement factors and fibrinogen in renal biopsies of 15 patients with NPA, correlating the findings with glomerular lesions seen at the light microscope. Fibrin and IgA deposits were found in all biopsies in mesangium, while C3 was detected only in 5 cases with potentially progressive lesions: 3 with PEEF, one with PEED and one with MP, being negative in PSF and PE cases, which are potentially reversible. The extension of deposits was diffuse or segmentary, without the existence of a precise correlation with the different morphological types. It is concluded that the immunopathologic pattern found in NPA is quite characteristics, different from that of postinfectious acute glomerulonephritis and that there seems to exist relation between findings of C3 with progression of the glomerular lesion.

摘要

为了有助于研究过敏性紫癜性肾病(NPA)的发病机制,对15例NPA患者肾活检标本中免疫球蛋白沉积物、补体因子和纤维蛋白原的存在及分布情况进行了研究,并将研究结果与光镜下所见的肾小球病变相关联。在所有活检标本的系膜中均发现纤维蛋白和IgA沉积物,而仅在5例有潜在进展性病变的病例中检测到C3:3例为PEEF,1例为PEED,1例为MP,在PSF和PE病例(可能为可逆性病变)中为阴性。沉积物的分布为弥漫性或节段性,与不同形态类型之间不存在确切的相关性。得出的结论是,NPA中发现的免疫病理模式颇具特征,不同于感染后急性肾小球肾炎,并且C3的检测结果与肾小球病变的进展之间似乎存在关联。

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