Koall W, Mampel E, Schneider W, Ditscherlein G
Z Gesamte Inn Med. 1977 Jul 1;32(13):313-9.
In comparison with literary data is reported on 3 young men with a Goodpasture syndrome. Immunohistologically in all cases a glomerulonephritis of the type of basal membrane antibodies was proved, in one patient also still 14 months after having reached the terminal stage of the renal insufficeincy. In every case the disease led to the dialytic treatment without the necessity of nephrectomies for commanding haemmorrhages of the lungs. The longest survival time was 3 years. -- In 1 patient within metastatic calcifications a pronounced nephrocalcinosis developed. Massive depositions of calcium were found in the basal membranes of the glomeruli and tubuli. It is discussed on the genesis of nephrocalcinosis, in which case a secondary hyperparathyrodism, an elevation of the calcium-phosphate-product, an alkalotic metabolic position as well as the dystrophic renal parenchyma of the rapidly progressing glomerulonephritis of Goodpasture's syndrome are taken into consideration.
相比之下,文献报道了3例患有Goodpasture综合征的年轻男性。免疫组织学检查在所有病例中均证实为基底膜抗体型肾小球肾炎,其中1例患者在进入肾功能不全终末期14个月后仍为该类型。在每种情况下,疾病均导致透析治疗,无需因控制肺部出血而行肾切除术。最长存活时间为3年。——1例患者出现转移性钙化,伴有明显的肾钙质沉着症。在肾小球和肾小管的基底膜中发现大量钙沉积。文中讨论了肾钙质沉着症的发病机制,考虑了继发性甲状旁腺功能亢进、钙磷乘积升高、碱中毒代谢状态以及Goodpasture综合征快速进展性肾小球肾炎的营养不良性肾实质等情况。