免疫球蛋白G4相关的疾病呈现性综合征由于最小变化疾病:一个病例报告
Amy Needleman1, Michael Sheaff2, Ruth J Pepper1
1UCL Centre for Kidney and Bladder Health, Royal Free Hospital, Pond Street, London, NW3 2QG, UK.
Journal of medical case reports
|April 19, 2024
概括
与免疫球蛋白G4相关的疾病 (IgG4-RD) 可能会出现由于微小变化疾病而导致的性综合征,这是一个罕见的淋巴细胞发现. 这一案例强调了IgG4-RD作为二次最小变化疾病的潜在原因.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 免疫球蛋白G4相关疾病 (IgG4-RD) 是一种多系统性炎症性疾病.
- 在IgG4-RD中,脏的参与通常呈现为管管间性炎,在某些情况下会出现淋巴细胞疾病,最常见的是膜性病.
研究的目的:
- 报告 IgG4 相关疾病的第一个记录病例,该病例呈现出由于疾病的最小变化而引起的性综合征.
- 扩大对与IgG4-RD相关的淋巴细胞病理的理解.
- 为了突出治疗最小变化疾病的潜在并发症.
主要方法:
- 一个67岁的男性患有性综合征的案例介绍.
- 诊断工作包括尿液分析,血清生物化学和脏活检.
- 脏活检显示了微小变化的疾病和IgG4相关的管管间性炎.
主要成果:
- 该患者出现了性综合征,其特征是重蛋白尿,低蛋白血和高胆固醇血.
- 脏活检证实了微小变化疾病和IgG4阳性管介质炎.
- 患者在高剂量类固醇治疗后出现严重的传染性并发症.
结论:
- 与IgG4相关的疾病可能与变化最小的疾病有关,扩大其脏表现的范围.
- 这种情况有助于对最小变化疾病的次要原因的差异诊断.
- 这份报告提醒人们,高剂量皮质类固醇治疗会导致严重并发症.
更多相关视频
相关概念视频
Renal Corpuscle
2.0K
The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
2.0K
Nephrons
2.4K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.4K
Glomerular Filtration Rate and its Regulation
2.6K
The Glomerular Filtration Rate (GFR) is a measure of kidney function, reflecting the volume of filtrate formed per minute in the kidneys. On average, GFR is approximately 125 mL/min in males and 105 mL/min in females. Maintaining a relatively constant GFR is essential for the kidneys to effectively regulate body fluid homeostasis and maintain extracellular stability.
GFR regulation involves two primary intrinsic controls: the myogenic and tubuloglomerular feedback mechanisms.
The myogenic...
GFR regulation involves two primary intrinsic controls: the myogenic and tubuloglomerular feedback mechanisms.
The myogenic...
2.6K
Factors Affecting Renal Clearance: Renal Impairment
91
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
91
Immunodeficiency Diseases
936
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
936
Myasthenia Gravis: Overview and Treatment
1.4K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.4K


