Hunte W, al-Ghraoui F, Cohen R J
Cleveland Clinic Foundation, Ft. Lauderdale, FL.
J Am Soc Nephrol. 1993 Jan;3(7):1351-5. doi: 10.1681/ASN.V371351.
A case of nephrotic syndrome in a 21-yr-old black man with secondary syphilis and diabetes mellitus is described. A renal biopsy was performed, which showed membranous glomerulopathy stage I associated with mesangial hyperplasia and mesangial deposits. The clinical course and the histologic findings, compatible with syphilitic nephropathy, are offered to remind internists (nephrologists) that sexually transmitted diseases, like syphilis or hepatitis B, in addition to human immunodeficiency virus, can have important renal manifestations.
本文描述了一名21岁患有二期梅毒和糖尿病的黑人男性肾病综合征病例。进行了肾活检，结果显示为I期膜性肾小球病，伴有系膜增生和系膜沉积物。该临床病程和组织学发现与梅毒性肾病相符，旨在提醒内科医生（肾病学家），除了人类免疫缺陷病毒外，梅毒或乙型肝炎等性传播疾病也可能有重要的肾脏表现。
