ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2018, Vol. 27 ›› Issue (6): 585-588.DOI: 10.3969/j.issn.1006-298X.2018.06.019

• 论文 • 上一篇    下一篇

抗血管内皮生长因子药物肾损害合并免疫复合物相关性肾小球肾炎

  

  • 出版日期:2018-12-28 发布日期:2019-01-21

Kidney injury after antivascular endothelial growth factor therapy complicated with immune complex glomerulonephritis

  • Online:2018-12-28 Published:2019-01-21

摘要:

中年女性患者,确诊肺癌1年半,抗血管内皮生长因子(VEGF)药物治疗后出现水肿,大量蛋白尿和高血压,肾活检组织学为肾小球膜增生性病变伴系膜溶解和内皮细胞病变,同时伴有免疫球蛋白和补体沉积,结合临床,考虑抗VEGF药物肾损害合并免疫复合物相关性肾小球肾炎。

 

关键词: 肺癌, 抗血管内皮生长因子药物, 肾小球膜增生性病变, 肾活检

Abstract:

A 48yearold woman presented with edema,heave proteinuria and hypertension.The patient was diagnosed with lung cancer in 2017 and underwent chemotherapy and antivascular endothelial growth factor therapy.A renal biopsy showed membranoproliferative glomerulonephritis with mesangiolysis,and deposition of immunoglobulin and complement  the final diagnosis was glomerular disease related to antiVEGF therapy with immune complex associated glomerulonephritis.