Paynter H E, Banks R A
Department of Nephrology, Gloucestershire Royal Hospital, UK.
Clin Nephrol. 1998 Feb;49(2):121-3.
IgA nephropathy (IgAN) and Henoch-Schoenlein purpura (HSP) are clinically distinct conditions indistinguishable on renal biopsy. However, progression from IgAN to HSP has rarely been reported, particularly in adults. We report such a case: a young man with biopsy-proven IgAN and no systemic features of HSP who six years later developed classical HSP. This supports suggestions that the two conditions are different manifestations of the same disease.
IgA肾病（IgAN）和过敏性紫癜（HSP）在临床上是不同的疾病，但在肾活检中难以区分。然而，从IgAN进展为HSP的情况鲜有报道，尤其是在成人中。我们报告了这样一例病例：一名经活检证实为IgAN且无HSP全身症状的年轻男性，六年后发展为典型的HSP。这支持了这两种疾病是同一疾病不同表现形式的观点。
