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丙型肝炎病毒感染相关的肾衰竭。α干扰素治疗后肾功能改善。

Renal failure associated with hepatitis C virus infection. Improvement in renal function after treatment with interferon-alpha.

作者信息

Moses P L, Krawitt E L, Aziz W, Corwin H L

机构信息

Department of Medicine, University of Vermont College of Medicine, FAHC, Burlington 05405-0068, USA.

出版信息

Dig Dis Sci. 1997 Feb;42(2):443-6. doi: 10.1023/a:1018803027109.

DOI:10.1023/a:1018803027109
PMID:9052533
Abstract

Hepatitis C virus infection can result in mixed cryoglobulinemia and associated clinical syndromes including membranoproliferative glomerulonephritis. Reports regarding the efficacy of interferon-alpha (IFN-alpha) in the treatment of patients with membranoproliferative glomerulonephritis and chronic hepatitis C infection have been inconclusive regarding improvement of renal function. We describe two patients with chronic hepatitis secondary to hepatitis C virus complicated by mixed cryoglobulinemia and membranoproliferative glomerulonephritis who developed severe renal failure which resolved after treatment with standard doses of IFN-alpha 2b.

摘要

丙型肝炎病毒感染可导致混合性冷球蛋白血症及相关临床综合征,包括膜增生性肾小球肾炎。关于α干扰素(IFN-α)治疗膜增生性肾小球肾炎合并慢性丙型肝炎感染患者的疗效,在肾功能改善方面的报道尚无定论。我们描述了两名继发于丙型肝炎病毒的慢性肝炎患者,他们合并混合性冷球蛋白血症和膜增生性肾小球肾炎,出现了严重肾衰竭,在接受标准剂量的IFN-α 2b治疗后病情得到缓解。

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本文引用的文献

1
Hepatitis C--associated glomerular disease in liver transplant recipients.肝移植受者中的丙型肝炎相关性肾小球疾病。
Liver Transpl Surg. 1995 May;1(3):166-75. doi: 10.1002/lt.500010306.
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Renal manifestations of hepatitis C virus infection.
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Extrahepatic immunologic manifestations in chronic hepatitis C and hepatitis C virus serotypes.慢性丙型肝炎的肝外免疫表现及丙型肝炎病毒血清型
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Membranoproliferative glomerulonephritis associated with hepatitis C virus infection responsive to interferon-alpha.与丙型肝炎病毒感染相关的膜增生性肾小球肾炎对α干扰素治疗有反应。
Am J Kidney Dis. 1995 Jan;25(1):67-9. doi: 10.1016/0272-6386(95)90628-2.
5
A lethal course of chronic hepatitis C, glomerulonephritis, and pulmonary vasculitis unresponsive to interferon treatment.慢性丙型肝炎、肾小球肾炎和肺血管炎的致死病程,对干扰素治疗无反应。
Am J Gastroenterol. 1995 Jun;90(6):1006-8.
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Treatment of hepatitis B virus-associated membranous nephropathy with recombinant alpha-interferon.重组α干扰素治疗乙型肝炎病毒相关性膜性肾病
Kidney Int. 1995 Jan;47(1):225-30. doi: 10.1038/ki.1995.27.
7
Membranoproliferative glomerulonephritis associated with hepatitis C virus infection.丙型肝炎病毒感染相关的膜增生性肾小球肾炎
N Engl J Med. 1993 Feb 18;328(7):465-70. doi: 10.1056/NEJM199302183280703.
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Long-term outcome of hepatitis B virus-related glomerulonephritis after therapy with interferon alfa.
Gastroenterology. 1995 Aug;109(2):540-6. doi: 10.1016/0016-5085(95)90343-7.
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Mixed cryoglobulinemia: clinical aspects and long-term follow-up of 40 patients.混合性冷球蛋白血症:40例患者的临床情况及长期随访
Am J Med. 1980 Aug;69(2):287-308. doi: 10.1016/0002-9343(80)90390-3.
10
Mechanisms of action of interferons.干扰素的作用机制。
Semin Liver Dis. 1989 Nov;9(4):235-9. doi: 10.1055/s-2008-1040516.