Wellmann K F, Volk B W
Diabetes. 1976 Aug;25(8):713-6. doi: 10.2337/diab.25.8.713.
Nodular (specific) intercapillary glomerulosclerosis (Kimmelstiel-Wilson) was found at autopsy in a 47-year-old man who had been diabetic for 20 years. The family history for this disease had been negative. Both the clinical course and the autopsy findings strongly suggest that this patient's diabetes was secondary to chronic fibrocalcific pancreatitis. This is only the fourth recorded case of histologically documented nodular glomerulosclerosis occurring in a patient with pancreatogenic diabetes.
在一名患糖尿病20年的47岁男性尸检中发现了结节性(特异性)毛细血管间肾小球硬化(金梅尔斯特尔-威尔逊病变)。该疾病的家族史为阴性。临床病程和尸检结果均强烈提示,该患者的糖尿病继发于慢性纤维钙化性胰腺炎。这是有组织学记录的胰腺性糖尿病患者发生结节性肾小球硬化的第四例报道病例。