相关实验视频
Updated: Sep 16, 2025
13:01
Anti-Nuclear Antibody Screening Using HEp-2 Cells
Published on: June 23, 2014
135.4K
慢性乙型肝炎引发抗中性子细胞质抗体相关的血管炎并发症的质炎:一个病例报告
Ming-Ru Li1, Li-Ya Li2, Juan Tang3
1Department of Nephrology and Rheumatology, The Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China.
World journal of clinical cases
|July 7, 2025
概括
乙型肝炎病毒感染可以引发脏疾病 (HBV相关的血球炎) 和罕见的自身免疫性疾病 (抗脂抗体综合征). 早期诊断和治疗对于这些复杂病例的更好的结果至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
背景情况:
- 乙型肝炎病毒 (HBV) 感染经常导致脏疾病,特别是与HBV相关的血球膜炎 (HBV-GN),呈现为脏病或脏病综合征.
- 抗中性细胞质抗体相关血管炎 (AAV) 是一种全身性自身免疫性疾病,导致多个器官的小血管炎症.
- 同时发生的HBV-GN和AAV是罕见的,对其临床过程和管理的了解有限.
研究的目的:
- 呈现一种由抗中性细胞质抗体相关性血管炎 (AAV) 复杂的HBV相关性血球膜炎 (HBV-GN) 的病例.
- 突出与这种罕见的双重疾病相关的诊断和治疗挑战.
- 强调早期识别和干预对改善患者预后的重要性.
主要方法:
- 一个老年男性患者的病例报告,尿液持续发泡.
- 临床评估显示了性综合征,功能衰竭和多系统性参与 (肺,免疫,血液).
- 确立了由AAV复杂的HBV-GN的诊断.
主要成果:
- 患者出现了性综合征和功能衰竭,进展到多器官参与.
- 尽管包括皮质类固醇,环胺,血交换和免疫吸收在内的综合治疗,但患者需要长期透析.
- 这位患者的预后不好.
结论:
- 乙型肝炎病毒感染可能会导致与抗中性细胞质抗体相关血管炎 (AAV) 同时发生的病.
- 及时诊断和及时干预对于改善患者在这种复杂病例中的结果至关重要.
相关概念视频
01:27Acute Pyelonephritis I: Introduction
63
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
63
01:24Nephrotic Syndrome I : Introduction
31
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
31
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
44
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
44
01:26Nephrotic Syndrome II : Assessment and Medical Management
24
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
24
01:24Chronic Kidney Disease II: Clinical Manifestations
104
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
104
01:29Chronic Pancreatitis II: Collaborative Care
131
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
131