Reaich D, Cooper N, Main J
Department of Nephrology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Nephron. 1994;67(3):354-7. doi: 10.1159/000187993.
A 62-year-old man with chronic renal failure secondary to Wegener's granulomatosis received a cadaveric renal graft in December 1990 after 2 years' treatment with continuous ambulatory peritoneal dialysis. Early graft function was good and serum creatinine fell steadily. On day 5 he became anuric and the graft became swollen and tender. Isotope renography showed no perfusion and the kidney was removed. Pathological examination showed widespread acute arteritis consistent with recurrent Wegener's granulomatosis. Recurrence of Wegener's granulomatosis in renal grafts is rare. The 4 previously reported cases are reviewed.
一名62岁男性，继发于韦格纳肉芽肿病的慢性肾衰竭，在接受持续非卧床腹膜透析2年治疗后，于1990年12月接受了尸体肾移植。移植肾早期功能良好，血清肌酐稳步下降。术后第5天，患者无尿，移植肾肿胀且触痛。同位素肾图显示无灌注，遂将肾脏切除。病理检查显示广泛的急性动脉炎，符合复发性韦格纳肉芽肿病。韦格纳肉芽肿病在肾移植中复发罕见。本文回顾了此前报道的4例病例。
