青年人微小病变1例报告

R. Nashawati
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引用次数: 1

摘要

微小变化病(MCD)是儿童最常见的肾病综合征类型(约80%),而在成人中,它占病例的10%至20%。它似乎与花粉过敏、哮喘、非甾体抗炎药的使用和缺氧有关。一名25岁女孩,双腿水肿,面部浮肿,无其他主诉,来到诊所,她的实验室检查正常,除了蛋白尿3.34g/24h和血白蛋白1.9mg/dl,她的肾脏超声检查正常。肾脏活检正常,IF研究对免疫相关疾病呈阴性。她接受了皮质类固醇治疗;环孢菌素然后他克莫司,这样她就可以有良好的反应。
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Minimal Change Disease in Young Adults: A Case Report
Minimal Change Disease (MCD) represents the most common type of nephrotic syndrome in children (~80%), whereas in adults it accounts for 10% to 20% of cases. It seems to be associated with pollen allergy, asthma, NSAIDS use, and Hypoxia. A 25 years old girl with edema in both legs and facial puffiness and no other complain came to the clinic, her lab test was normal except for proteinuria 3.34g/24h and blood Albumin 1.9mg/dl, her ultrasonography for the kidneys was normal. Kidney Biopsy was normal and IF study was negative for immune related diseases. She was treated with corticosteroid; cyclosporine then tacrolimus so she could have good response.
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