Postishil' Iu A
Arkh Patol. 1995 Sep-Oct;57(5):70-4.
Pathomorphological findings on nephrobiopsies from two groups of patients with NSAID-induced kidney lesions are provided. In the first group (9 patients) the disease developed in patients of different age after short-term use of NSAID and was clinically manifested by acute renal failure with extrarenal allergic symptoms (skin, rash, eosinophilia). Morphological features were acute tubulo-interstitial nephritis without glomerular lesions. In the second group (23 patients) the disease developed after longterm use of NSAID in older patients with a compromised renal blood circulation presenting clinically with nephrotic syndrome, and morphologically by acute tubulo-interstitial nephritis with minimal change (lipoid nephrosis).
提供了两组非甾体抗炎药(NSAID)所致肾损害患者肾活检的病理形态学结果。第一组(9例患者),不同年龄患者短期使用NSAID后发病,临床表现为急性肾衰竭并伴有肾外过敏症状(皮肤、皮疹、嗜酸性粒细胞增多)。形态学特征为急性肾小管间质性肾炎,无肾小球病变。第二组(23例患者),老年患者长期使用NSAID后发病,肾血液循环受损,临床表现为肾病综合征,形态学表现为急性肾小管间质性肾炎伴微小病变(类脂性肾病)。