临床荟萃

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纤维连接蛋白肾小球疾病合并具有肾脏意义的单克隆免疫球蛋白血症1例

  

  1. 1.甘肃中医药大学 临床医学院 ,甘肃 兰州 730000; 2.甘肃省人民医院 肾内科, 甘肃  兰州 730000
  • 出版日期:2019-11-20 发布日期:2020-01-09
  • 通讯作者: 朱敏敏,Email: 3291504566@qq.com

Fibronectin glomerular disease combined with monoclonal gammopathy of renal significance--a case report

  1. 1.College of Clinical Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, China; 
    2.Department of  Nephrology,  Gansu Provincial Hospital, Lanzhou 730000, China
  • Online:2019-11-20 Published:2020-01-09
  • Contact: Corresponding author: Zhu Minmin, Email: 3291504566@qq.com

摘要: 纤维连接蛋白肾小球疾病(FNG)是一种罕见的常染色体显性遗传性疾病,以大量纤维连接蛋白沉积于肾小球内皮下及系膜区为其特征,临床表现为蛋白尿、不同程度的血尿、高血压及进展缓慢的肾功能减退,少数患者有肾小管酸中毒。其诊断主要依据肾穿刺结果纤维连接蛋白荧光染色阳性,目前无特异性治疗,多给予对症治疗。FNG发病罕见,合并具有肾脏意义的单克隆免疫球蛋白血症(MGRS)极少报道。本文报道1例FNG合并MGRS,并进行相关文献的复习。

关键词: 连接蛋白类, 白蛋白疾病, 活组织检查, 针吸

Abstract: Fibronect  in glomerular disease (FNG) is a rare autosomal dominant  in herited disease characterized by a large amount of fibronectin deposited in the glomerular subendothelial and mesangium.  The clinical manifestations are proteinuria, a different level of hematuria, hypertension, and slowly progressing renal dysfunction.And a small number of patients have renal tubular acidosis. The diagnosis is mainly based on the results of renal puncture, and the fibronectin staining is positive.There is no specific treatment, and more symptomatic treatment should be used. FNG is rare, and the complication, monoclonal immunoglobulinemia (MGRS) with renal significance, is rarely reported. This article reported a case of FNG accompanied by MGRS and literature were reviewed.

Key words: connexins, blood protein disorders, biopsy, needle