肾脏病与透析肾移植杂志 ›› 2019, Vol. 28 ›› Issue (3): 287-290.DOI: 10.3969/j.issn.1006-298X.2019.03.019
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61岁男性患者,临床表现为慢性肾功能不全急性加重,少量蛋白尿,既往有高血压病史20年,曾两次因“心肌梗塞”行冠脉支架植入术。肾活检病理提示为急性间质性肾炎伴动脉、肾小球内多处梭形空隙,最终诊断为急性间质性肾炎合并胆固醇结晶栓塞性肾病。
关键词: 急性间质性肾炎, 胆固醇结晶栓塞性肾病, 肾活检
Abstract:
A 61yearold man presented with mild proteinuria,chronic renal dysfunction with acute renal injury.The patient had a history of hypertension and was performed cardiac angiography and stenting twice after two attacks of myocardial infarct.Renal biopsy revealed acute interstitial nephritis and cleftlike crystal spaces lodged within the lumina of several interlobular arteries and perihilum of a glomerulus.He was diagnosed with acute interstitial nephritis concurrent with atheroembolic renal disease.
梁丹丹,曾彩虹. 急性间质性肾炎合并胆固醇结晶栓塞性肾病[J]. 肾脏病与透析肾移植杂志, 2019, 28(3): 287-290.
LIANG Dandan,ZENG Caihong. Acute interstitial nephritis concurrent with atheroembolic renal disease[J]. Chinese Journal of Nephrology, Dialysis & Transplantation, 2019, 28(3): 287-290.
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http://www.njcndt.com/CN/Y2019/V28/I3/287