Hisahara S, Ohkoshi N, Shoji S, Muro K, Yamaguchi N, Kobayashi M, Koyama A
Department of Neurology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.
J Intern Med. 1998 Jul;244(1):83-6. doi: 10.1046/j.1365-2796.1998.00305.x.
A 68-year-old Japanese woman with polymyalgia rheumatica associated with acute tubulointerstitial nephritis and subclinical Sjögren's syndrome is described. Gallium scintigraphy showed marked accumulation in both kidneys and the salivary glands. Renal biopsy revealed lymphocytic infiltration in the tubulointerstitium. She was treated with intravenous high-dose methylprednisolone followed by oral prednisolone. Her clinical symptoms improved. This is the first report of this particular association.
本文描述了一名68岁的日本女性，患有风湿性多肌痛，伴有急性肾小管间质性肾炎和亚临床干燥综合征。镓扫描显示双侧肾脏和唾液腺有明显的放射性聚集。肾活检显示肾小管间质有淋巴细胞浸润。她接受了静脉注射大剂量甲泼尼龙治疗，随后口服泼尼松龙。她的临床症状有所改善。这是关于这种特殊关联的首次报告。
