胶原纤维性肾小球病研究进展

    Advances in collagen fibrosis glomerulopathy

    • 摘要: 胶原纤维性肾小球病,又称为Ⅲ型胶原肾小球病,是一种罕见的非免疫介导的肾小球疾病。病因多考虑为原发性。临床主要表现为蛋白尿(多为肾病水平)、水肿、高血压和进展性肾功能异常。诊断主要依据肾脏病理电镜下特征性Ⅲ型胶原在肾小球系膜基质和内皮下沉积。目前尚无有效治疗手段,只能降蛋白尿、降压对症处理,总体预后差。对于进展至终末期肾病患者,肾移植可能预后较好。

       

      Abstract: Collagenofibrotic glomerulopathy (CG), also called Collagen Type Ⅲ glomerulopathy, which is a rare non-immune-mediated primary glomerular disease, characterized by abnormal accumulation of type Ⅲ collagen fibrils within the mesangial matrix and subendothelial space in the glomeruli. The major clinical manifestations are proteinuria, peripheral edema, hypertension and occasional progression to end-stage renal disease. The diagnosis is mainly based on electron microscopy. There is no effective treatment, and the overall prognosis is poor. For patients with end-stage renal disease, kidney transplantation may have a better prognosis.

       

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