胆尿与共存的最小变化疾病:一种不常见的临床关联
Regina J McPherson1, Juan Ramon Santos Rivera2, Nicholas V Manocchio3
1Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Cureus
|October 22, 2025
概括
胆尿,或乳性尿液,可以有罕见的非寄生病原因. 这一案例揭示了微小变化疾病作为成人发病胆尿症中不寻常的同时发生的疾病.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内部医学 内部医学
背景情况:
- 胆是尿液中胆的存在,通常是由寄生虫感染引起的,如Wuchereria bancrofti.
- 非寄生病导致的胆尿病是罕见的,存在诊断挑战.
- 成人发病的胆需要一个广泛的差异诊断超出感染病因.
研究的目的:
- 报告一个不寻常的成年发病型胆尿病例.
- 为了调查流的潜在非寄生病因.
- 突出诊断挑战和奇鲁里亚罕见的关联.
主要方法:
- 一个56岁的男性的病例报告,尿液含有牛奶和下尿道症状.
- 生物化学分析包括尿液中甘油三水平.
- 进行广泛的传染病和寄生虫检查.
- 脏活检用于组织病理学检查.
主要成果:
- 患者呈现出牛奶状尿液 (甘油三 >525毫克/分升),失尿症和直肠不适.
- 传染病和寄生虫的调查是负面的.
- 脏活检显示了最小变化疾病 (MCD).
- MCD被认为是一种共存的疾病,而不是导致胆尿的直接原因.
结论:
- 这一案例强调了在成人发病的胆里亚中考虑非寄生病原因和共存条件的重要性.
- 最小变化疾病是罕见的发现,与胆尿病结合.
- 早期识别非典型表现对于适当的管理和预防慢性慢性损失的并发症至关重要.
更多相关视频
相关概念视频
Chronic Bowel Disorders: Introduction
744
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
744
Chronic Kidney Disease II: Clinical Manifestations
547
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...
547
Chronic Pancreatitis II: Collaborative Care
311
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:
311
Bacterial Phylum Chlamydiae
422
The phylum Chlamydiae or Chlamydiota is composed of a single order, Chlamydiales. This phylum consists entirely of obligate intracellular parasites that infect eukaryotic hosts. While human pathogens within this group have been studied extensively, the phylum encompasses many species capable of interacting with various eukaryotic organisms. Members of Chlamydiae are typically small cocci, approximately 0.5 μm in diameter, and exhibit a distinctive developmental cycle. As is characteristic...
422
Nephrotic Syndrome I : Introduction
493
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...
493
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
371
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
371


