Mertens J C, Huizinga T W, Hagen E C, Hollander A A, Peeters A J, Bruijn J A, MacFarlane J D, Dijkmans B A
Department of Rheumatology, University Hospital Leiden, The Netherlands.
J Rheumatol. 1996 Sep;23(9):1633-5.
A patient with juvenile chronic arthritis (JCA) in remission developed the nephrotic syndrome 17 years after the onset of the disease. A renal biopsy showed diffuse extracapillary proliferative glomerulonephritis without immune complex deposits. The patient was treated with glucocortico-steroids and cyclophosphamide. Extracapillary glomerulonephritis without immune complex deposits appears to be a rare complication of JCA.
一名幼年型慢性关节炎(JCA)缓解期患者在疾病发作17年后出现肾病综合征。肾活检显示为弥漫性毛细血管外增生性肾小球肾炎,无免疫复合物沉积。该患者接受了糖皮质激素和环磷酰胺治疗。无免疫复合物沉积的毛细血管外肾小球肾炎似乎是JCA的一种罕见并发症。