临床病例讨论第442例——血肌酐升高、胰腺肿物、腮腺肿大
被引量:1
摘要
患者女,62岁。因血肌酐升高20d于2014年2月19日收入我院肾内科。2014年1月患者劳累后出现咳嗽,咳黄痰,体温正常,自服头孢克洛(0.25g,3次/d)3d后出现眼睑、而部水肿,尿量自1500ml/d减至300ml/d,期间饮水量如常。1月2813就诊外院,测血压165/93mmHg(1mmHg=0.133kPa),查血肌酐456μmol/L。2月3日出现无尿,查血肌酐1067μmol/L,血钾6.9mmol/L。
出处
《中华内科杂志》
CAS
CSCD
北大核心
2015年第3期278-280,共3页
Chinese Journal of Internal Medicine
参考文献10
-
1Kellum JA, Mehta RL, Angus DC, et al. The first international consensus conference on continuous renal replacement therapy[J]. Kidney Int,2002,62(5):1855-1863.
-
2Vaglio A, Zwerina J. IgG4-related disease[J]. N Engl J Med,2012,366(17):1646, 1646-1647.
-
3Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD), 2011. Research Program of Intractable Disease provided by the Ministry of Health, Labor, and Welfare of Japan[J]. Nihon Naika Gakkai Zasshi,2012,101(3):795-804.
-
4Saeki T, Nishi S, Imai N, et al. Clinicopathological characteristics of patients with IgG4-related tubulointerstitial nephritis[J]. Kidney Int,2010,78(10):1016-1023.
-
5郑可,李雪梅,蔡建芳,文煜冰.IgG4相关性疾病泌尿系统损害分析[J].中华肾脏病杂志,2012,28(12):937-942. 被引量:10
-
6Nakatani S, Ishimura E, Sonoda M, et al. Effect of corticosteroid therapy on renal pathology in IgG4-related kidney disease accompanying glomerulonephritis[J]. Nephrology (Carlton),2014,19(7):436-437.
-
7Zen Y, Onodera M, Inoue D, et al. Retroperitoneal fibrosis: a clinicopathologic study with respect to immunoglobulin G4[J]. Am J Surg Pathol,2009,33(12):1833-1839.
-
8Alexander MP, Larsen CP, Gibson IW, et al. Membranous glomerulonephritis is a manifestation of IgG4-related disease[J]. Kidney Int,2013,83(3):455-462.
-
9Debiec H, Ronco P. PLA2R autoantibodies and PLA2R glomerular deposits in membranous nephropathy[J]. N Engl J Med,2011,364(7):689-690.
-
10Miyata KN, Kihira H, Haneda M, et al. IgG4-Related Tubulointerstitial Nephritis Associated with Membranous Nephropathy in Two Patients: Remission after Administering a Combination of Steroid and Mizoribine[J]. Case Rep Nephrol,2014,2014:678538.
二级参考文献12
-
1StoneJH, Zen Y, Deshpande V, et at. IgG4-related disease. N EnglJ Med, 2012, 366: 539-551.
-
2Triantopoulou C , Malachias G, Maniatis P , et aI. Renal lesions associated with autoimmune pancreatitis: CT findings. Acta Radiology, 2010, 51: 702-707.
-
3Yamaguchi Y, Kanetsuna Y, Honda K, et aI. Characteristic tubulointerstitial nephritis in IgG4 - related disease. Hum Pathol, 2012, 43: 536-549.
-
4Cornell LD. IgG4 - related kidney disease. CUIT Opin Nephrol Hypertens, 2012, 21: 279-288.
-
5Fervenza FC, Downer G, Beck LHJr, et aI. IgG4 - related tubulointerstitial nephritis with membranous nephropathy. AmJ Kidney Dis, 2011, 58: 320-324.
-
6Saida Y, Homma N, Hama H, et aI. A case of IgG4 - related tubulointerstitial nephritis showing the progression of renal dysfunction after a cure for autoimmune pancreatitis. NipponJinzo Gakkai Shi, 2010, 52: 73-79.
-
7Saeki T, Imai N, Ito TT, et aI. Membranous nephropathy associated with IgG4 - related systemic disease and without autoimmune pancreatitis. Clin Nephrol, 2009, 71: 173-178.
-
8Saeki T, Nishi S, Imai N, et aI. Clinicopathological characteristics of patients with IgG4 - related tubulointerstitial nephritis. Kidney Int, 2010, 78: 1016-1023.
-
9Cravedi P, Abbate M, Gagliardini E, et aI. Membranous nephropathy associated with IgG4-related disease. AmJ Kidney Dis, 2011, 58: 272-275.
-
10Ohtani H, Wakui H, Komatsuda A, et al. Distribution of glomerular IgG subclass deposits in malignancy - associated membranous nephropathy. Nephrol Dial Transplant, 2004, 19: 574-579.
共引文献9
-
1蔡燚,李汉忠,师杰,张玉石.IgG4相关肾脏炎性假瘤一例[J].中华内分泌外科杂志,2015,9(6):524-526. 被引量:5
-
2姜志宇.IgG4相关性疾病患者的观察与护理研究[J].中国继续医学教育,2016,8(29):197-198.
-
3贾文娟,金梅,冯剑.IgG4相关性疾病伴IgA肾病1例[J].中国中西医结合肾病杂志,2017,18(3):257-258. 被引量:2
-
4朱小华,付文兰,严金秀.1例IgG4相关性疾病病人的护理[J].全科护理,2017,15(24):3069-3071.
-
5滕菲,郑可,李雪梅.IgG4相关肾病诊治进展[J].中华肾脏病杂志,2017,33(11):867-872. 被引量:6
-
6李艳华,冯敏,罗福漳.IgG4相关肾小管间质性肾炎合并IgA肾病一例并文献复习[J].新医学,2018,49(3):200-204. 被引量:5
-
7汤绚丽,杜园园,林宜,郑洁,朱晓玲,胡云琴.IgG4相关性小管间质性肾炎诊断标准分析及致病机制探讨[J].浙江医学,2018,40(14):1558-1561. 被引量:2
-
8滕菲,李雪梅.IgG4相关性肾病研究进展[J].临床内科杂志,2019,36(4):224-227. 被引量:3
-
9滕菲,郑可,李雪梅.IgG4相关疾病的致病机制研究进展[J].中华肾脏病杂志,2019,35(8):625-629. 被引量:1
同被引文献5
-
1Umehara H, Okazaki K, Masaki Y, et al. Comprehensive diagnostic criteria for IgG4-related disease ( IgG4-RD), 2011 [ J ]. Mod Rheumatol, 2012,22( 1 ) :21-30.
-
2Zhang J, Chen H, Ma Y, et al. Characterizing IgG4-related disease with lS F-FDG PET/CT: a prospective cohort study [ J]. Eur J Nucl Med Mol Imaging ,2014,41 ( 8 ) : 1624-1634.
-
3Iseda I, Hida K, Tone A, et al. Prednisolone markedly reduced serum IgG4 levels along with the improvement of pituitary mass and anterior pituitary function in a patient with IgG4-related infundibulo-hypophysitis[ J]. Endocr J, 2014,61(2) :195-203.
-
4Leporati P, Landek-Salgado MA, Lupi I, et al. IgG4-related hypophysitis: a new addition to the hypophysitis spectrum [ J ]. J Clin Endocrinol Metab, 2011,96 ( 7 ) : 1971-1980.
-
5陈罡,郑可,叶文玲,文煜冰,蔡建芳,袁群生,李明喜,张文,李雪梅.IgG4相关性疾病泌尿系统损害的临床特点分析[J].中华肾脏病杂志,2015,31(1):7-12. 被引量:12
-
1血肌酐升高是降压药所引起吗?[J].健康指南(中老年),2011(3):67-67.
-
2戴光莹,张华.头孢唑林静滴致两侧腮腺肿大2例(摘要)[J].沈阳部队医药,2003,16(5):384-384.
-
3李惠珍,周小平,吴永胜,段文斌.还原型谷胱甘肽致腮腺肿大八例报告[J].临床误诊误治,2008,21(2):77-78. 被引量:4
-
4李京凤,龚双才,李红.盐酸林可霉素致腮腺肿大6例[J].人民军医,2004,47(9):558-558. 被引量:4
-
5张彦芳,张卫民,王凤梅.硫普罗宁静滴致颌下腺、腮腺肿大[J].药物不良反应杂志,2005,7(5):389-389. 被引量:5
-
6王莹莹.纳差、乏力6个月,发现血肌酐升高1个月[J].中国社区医师,2012,28(43):17-17.
-
7葛丽娜,刘建平.心衰患者要警惕“血肌酐升高”[J].家庭用药,2015,0(11):22-22.
-
8沈烨渠,孙悦,蒋宇峰,何立群,侯卫国.以恶心、呕吐、血肌酐升高为主要表现的多发性骨髓瘤1例报告[J].山东医药,2013,53(2):99-100. 被引量:2
-
9徐红冰,刘皋林.抗感冒药物成分的药理特征及其临床用药分析[J].抗感染药学,2010,7(4):271-274. 被引量:14
-
10何新军,王思平.血管紧张素转换酶抑制剂和血管紧张素Ⅱ受体拮抗剂联用治疗糖尿病肾病的不良反应文献分析[J].中国临床药学杂志,2014,23(1):39-45. 被引量:22