重复肾活检及时诊治系统性红斑狼疮相关新月体性肾炎一例

Chinese Journal of Allergy & Clinical Immunology(2022)

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Abstract
肾脏是系统性红斑狼疮(systemic lupus erythe-matosus,SLE)最常见的受累脏器之一,约40%SLE患者会发生狼疮性肾炎(lupus nephritis,LN)[1].由于SLE病情及用药复杂,在出现急性肾损伤时往往病因鉴别诊断困难.本文报道一例在足量激素联合环磷酰胺诱导治疗过程中出现急性肾损伤、快速进展至透析的狼疮性肾炎患者,距离首次肾活检仅3周再次行肾脏穿刺,证实肾脏病理显著改变,从而及时调整治疗方案,有效控制了病情.本病例提示临床医生在狼疮性肾炎病情出现进展、原因不明且治疗效果不佳的情况下,可考虑重复肾活检寻找病因.
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