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題名 | Mycoplasma Pneumoniae Pneumonia Associated with IgA Nephropathy and Rapidly Progressive Glomerulonephritis=黴漿菌肺炎與快速進行性IgA腎病變 |
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作者姓名(中文) | 張敏育; 呂理哲; 楊安航; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷期 | 17:3 2003.08[民92.08] |
頁次 | 頁140-143+158 |
分類號 | 415.819 |
關鍵詞 | 黴漿菌性肺炎; 快速進行性腎絲球腎炎; IgA腎病變; Mycoplasma pneumoniae; Rapidly progressive glomerulonephritis; IgA nephropathy; |
語文 | 英文(English) |
英文摘要 | A 21-year-old man developed mycoplasma pneumoniae infection and acute renal failure. Renal biopsy showed mesangial depositions of IgA, C3 (complement 3) with crescent formation and global sclerosis. Attemps to demostrate mycoplasmal antigen failed. Treatment with steroid, plasmapheresis and 5-days of cyclophosphamide were administered but the renal function remained poor. We suggest that in some cases, IgA nephropathy may follow mycoplasma pneumoniae infection which induces immune-complex reaction. The crescent formation in IgA nephropathy of this patient may be also linked to mycoplasma pneumoniae infection and poor renal outcome. |
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