ISSN 1006-298X      CN 32-1425/R

导航

肾脏病与透析肾移植杂志 ›› 2015, Vol. 24 ›› Issue (3): 294-298.

• 论文 • 上一篇    

流行性出血热、腺垂体功能减退、肾功能不全

  

  • 出版日期:2015-06-28 发布日期:2015-07-01

Epidemic hemorrhagic fever, hypopituitarism, and renal insufficiency

  • Online:2015-06-28 Published:2015-07-01

摘要:

摘 要 51岁男性患者,流行性出血热后肾功能不全、乏力、反应迟钝6年,肾活检示肾小球系膜增生性病变,免疫荧光阴性,完善检查发现甲状腺功能降低(甲减),考虑肾功能不全为甲减所致,进一步寻找甲减的原因,发现腺垂体功能减退,最后诊断为腺垂体功能减退症(继发于流行性出血热);继发性甲状腺功能减退;甲状腺功能减退相关性肾损害,经补充激素后肾功能改善。

关键词: 腺垂体, 甲状腺功能减退, 激素, 肾功能不全

Abstract:

ABSTRACT A 51-year-old man was hospitalized with persistent renal dysfunction after onset of epidemic hemorrhagic fever 6 years ago. His renal biopsy revealed mild mesangio-proliferative change without immune complex deposition. In view of the mismatch of renal dysfunction and renal pathologic features, we took additional effort to find the etiology and ascribed his renal insufficiency to hypothyroidism secondary to hypopituitarism which was caused by epidemic hemorrhagic fever. After hormone compensation therapy with glucocorticosteroid and levothyroxine, his renal function was ameliorated. 

Key words: adenohypophysis, hypothyroidism, hormone, renal dysfunction