Kitamura H, Nakano T, Kakihara M, Nishino M, Isshiki K, Kawano K, Yamauchi A, Imai E, Kamada T, Abe H
First Department of Medicine, Osaka University School of Medicine, Japan.
Am J Nephrol. 1998;18(2):151-4. doi: 10.1159/000013325.
A case who developed Guillain-Barré syndrome (GBS) and nephrotic syndrome (NS) simultaneously is reported. In this case, the onset of nephrotic change of proteinuria coincided with the development of the neurological disturbance. Analysis of renal biopsy by light, immunofluorescent and electron microscopy showed minor glomerular abnormalities. The occurrence of GBS in association with NS is rare, and moreover most cases in the previous reports had membranous nephropathy. Only 1 case had minimal change nephrotic syndrome (MCNS). To our knowledge, this is the first report of a case beneficially treated with glucocorticoids, suggesting that immune disorder may play an important role in the association between MCNS and GBS.
本文报道了1例同时发生吉兰-巴雷综合征(GBS)和肾病综合征(NS)的病例。该病例中,蛋白尿肾病性改变的发作与神经功能障碍的发生同时出现。光镜、免疫荧光和电镜下肾活检分析显示肾小球仅有轻微异常。GBS合并NS的情况罕见,而且既往报道中的大多数病例为膜性肾病。仅有1例为微小病变肾病综合征(MCNS)。据我们所知,这是首例用糖皮质激素治疗有效的病例报告,提示免疫紊乱可能在MCNS与GBS的关联中起重要作用。