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小儿尿四项微量蛋白测定在紫癜性肾炎肾的早期诊断及临床分型中的意义 被引量:2
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作者 张旭东 《中华医学写作杂志》 2003年第8期730-732,共3页
目的:探讨小儿尿β2—MG、THP、IgG、A1b四种微量蛋白测定在紫癜性肾炎肾的早期诊断及临床分型中的意义。方法:用放射免疫法(RIA)测定37例HSP患儿尿β2—MG、THP、IgG、A1b四种微量蛋白的合量,并分组进行对比,分析其变化,以判断HS... 目的:探讨小儿尿β2—MG、THP、IgG、A1b四种微量蛋白测定在紫癜性肾炎肾的早期诊断及临床分型中的意义。方法:用放射免疫法(RIA)测定37例HSP患儿尿β2—MG、THP、IgG、A1b四种微量蛋白的合量,并分组进行对比,分析其变化,以判断HSP有无肾损害及其严重程度和临床分型的关系。结果:37例中,31例尿β2—MG升高(83.8%),11例尿THP升高(29.7%),16例IgG升高(43.2%),30例尿A1b升高(81.8%)。13例血清β2—MG、THP均正常。结论:经过对尿四项微量蛋白的监测及分组比较,结果显示:监测微量蛋白可早期诊断HSPN,指导临床尽早治疗,井可监测有无复发;HSPN的病理损害不只局限于肾小球,肾小管也有同样程度的损害,与有关报道相符;可反映病情的严重程度。 展开更多
关键词 小儿 尿四项微量蛋白测定 紫癜性肾炎肾 早期诊断 临床分型
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紫癜性肾小球肾炎治验一则
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作者 王丽娇 肖振卫 《中国民族民间医药》 2018年第12期63-64,共2页
紫癜性肾小球肾炎是过敏性紫癜引起的肾脏损害,临床多见,病情复杂,西药疗效欠佳。文章通过对一例中医治疗紫癜性肾炎病案进行分析,指出脾肾亏虚为其根本,通过辨证施治,随证加减,疗效显著。
关键词 紫癜小球肾炎 尿微量白蛋白 中医治疗
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大剂量皮质类固醇加口服环磷酰胺治疗小儿紫癜性肾小球肾炎
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作者 余英豪 《医学信息(医学与计算机应用)》 2002年第5期317-317,共1页
关键词 皮质类固醇 口服环磷酰胺 治疗 小儿紫癜小球肾炎
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Gene polymorphism in IL-1 receptor antagonist affects its production by monocytes in IgA nephropathy and Henoch-Schonlein nephritis 被引量:2
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作者 刘志红 杨俊伟 +2 位作者 陈朝红 龚如军 黎磊石 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第12期81-84,109-110,共6页
Objective To define the functional significance of IL-1 receptor antagonist (IL-1ra) gene polymorphism and to investigate, the production of IL-1ra by monocytes from individuals with different genotypes of IL-1.Method... Objective To define the functional significance of IL-1 receptor antagonist (IL-1ra) gene polymorphism and to investigate, the production of IL-1ra by monocytes from individuals with different genotypes of IL-1.Methods The genotype of IL-1ra was detected by polymerase chain reaction (PCR). Peripheral monocytes obtained from patients with immunoglobin A nephropathy (IgAN), Henoch-Schonlein purpura nephritis (HSPN) and normal subjects were matched in sex and age between the IL1RN-2 allele carriers and non-carriers. The secretion of IL-1ra, IL-1α and IL-1β in the supernatant of GM-CSF (10ng/ml) treated and untreated monocytes were measured by ELISA.Results The secretion of IL-1ra by monocytes stimulated with GM-CSF was significantly higher in the IL1RN-2 allele non-carriers than those of carriers both in IgAN (21.55±3.08 vs 13.85±2.24ng/ml, P<0.001) and HSPN (23.72±6.68 vs 12.67±2.24ng/ml, P<0.01) as well as in normal controls (20.29±1.45 vs 10.51±2.3ng/ml, P<0.001). All showed no significant differences in monocyte secretion of IL-1α and IL-1β by GM-CSF stimulation between the IL1RN-2 allele carriers and non-carriers. Conclusions These results indicate that a functional correlation of the IL1RN-2 allele and IL-1ra production is present in patients with IgAN and HSPN. This gene polymorphism control of IL-1ra production may contribute to the variety of clinical responses to inflammatory stimulation in individuals with different genotype of IL-1ra. 展开更多
关键词 IL-1 receptor antagonist · gene polymorphism · IgA nephropathy · Henoch-Schonlein nephritis
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