淀粉样变肾病误诊为触须样免疫性肾小球病1例分析并文献复习

Misdiagnosis of Amyloid Nephropathy as Immunotactoid glomerulopathy and Its Literature Review

目的 :分析淀粉样变肾病病理误诊的原因。方法 :回顾性分析 1例淀粉样变肾病肾穿刺活检资料。结果 :将其误诊为触须样免疫性肾小球病。结论 :淀粉样变肾病系少见病 ,应注意对该病的认识。刚果红染色作鉴别是必须的 ;超微结构中的微管状纤维物可能是多种系统性疾病的伴随现象。

Objective:To analyze the causes of misdiagnosis of amyloid nephropathy.Methods:Retrospective analysis of kidney biopsy of 1 patient with amyloid nephropathy was conducted.Results:Amyloid nephropathy was misdiagnosed as immunotactoid glomerulopathy.Conclusions:Amyloid nephropathy was a kind of infrequent disease,and doctors should heighten cognizance of it.Congon red stain was necessary to differential diagnosis. The microtubular fibrils fibrils in the ultrastructure might be a concomitant phenomenon of multisystem disease.