Richet G C
Ateneo Parmense Acta Biomed. 1975 Sep-Oct;46(5):425-31.
Some aspects of the diffuse proliferative glomerulonephritis have been examined: initial renal failure, evolution of the lesions, crioglobulinemia. Thirty-five of 88 cases presented high urea levels, in 3 of them with acute renal failure transient hemodialysis treatment was needed, only one case progressed toward chronic renal failure. Anatomic alterations either in the case of exudative or proliferative damages improved but not up to complete healing: mesangial tickening and local proliferation has been observed. Crioglobulinemia was found in 14 of 21 cases. The disappearance in two cases of the crioglobulinemia was accompanied by a significative improvement of the hystology; a persistent crioglobulinemia usually accompanies unmodified histologic alterations.
初期肾衰竭、病变演变、冷球蛋白血症。88例中有35例尿素水平升高,其中3例出现急性肾衰竭,需要进行短期血液透析治疗,只有1例发展为慢性肾衰竭。无论是渗出性还是增殖性损伤,解剖学改变均有改善,但未完全愈合:观察到系膜增厚和局部增殖。21例中有14例发现冷球蛋白血症。2例冷球蛋白血症消失,同时组织学有显著改善;持续性冷球蛋白血症通常伴有未改变的组织学改变。