Zahner J, Bach D, Malms J, Schneider W, Diercks K, Grabensee B
Klinik für Hämatologie, Onkologie und klinische Immunologie, Heinrich-Heine-Universität Düsseldorf.
Med Klin (Munich). 1997 Dec 15;92(12):712-9. doi: 10.1007/BF03044667.
The association of non-Hodgkin's lymphoma with different types of glomerulonephritis is well-known for many years. Whereas in Hodgkin's disease, minimal change glomerulonephritis is mainly observed, in non-Hodgkin's lymphoma various forms of glomerulonephritis are found.
We describe 3 cases of non-Hodgkin's lymphoma, which were associated with glomerulonephritis. Two cases of glomerulonephritis showed nephrotic syndromes, which improved by medicinal treatment. In 2 cases glomerulonephritis and non-Hodgkin's lymphoma developed simultaneously. In a third lymphoma was followed by glomerulonephritis after 3 years.
Although the pathogenetic relationship between non-Hodgkin's lymphoma and glomerulonephritis is not fully understood, the high number of reported cases yield interdependence. Lymphoma associated glomerulonephritis is found more often in men than in women. Low-grade non-Hodgkin's lymphomas--especially chronic lymphatic leukemias--seem to develop glomerulonephritis more frequently than high-grade. The majority of non-Hodgkin's lymphoma do not show any predisposition to a special type of glomerulonephritis, only in cutaneous lymphoma IgA-nephropathy predominates.
非霍奇金淋巴瘤与不同类型肾小球肾炎的关联多年来已为人所知。在霍奇金病中,主要观察到微小病变性肾小球肾炎,而在非霍奇金淋巴瘤中,则发现了各种形式的肾小球肾炎。
我们描述了3例与肾小球肾炎相关的非霍奇金淋巴瘤病例。2例肾小球肾炎表现为肾病综合征,经药物治疗后病情改善。2例中,肾小球肾炎和非霍奇金淋巴瘤同时发生。第3例中,淋巴瘤3年后继发肾小球肾炎。
虽然非霍奇金淋巴瘤与肾小球肾炎之间的发病机制关系尚未完全明了,但大量报道病例显示两者存在相关性。淋巴瘤相关肾小球肾炎在男性中比在女性中更常见。低级别非霍奇金淋巴瘤——尤其是慢性淋巴细胞白血病——似乎比高级别淋巴瘤更易发生肾小球肾炎。大多数非霍奇金淋巴瘤对特定类型的肾小球肾炎无任何易感性,仅皮肤淋巴瘤中IgA肾病占主导。