查詢結果分析
相關文獻
- Urate as a Cause of Rapidly Progressive Nephropathy
- 痛風的中醫治療與保健
- Clinical Features of Sonography-Diagnosed Gouty Nephropathy: Analysis of 151 Cases in a Medical Center
- 痛風之探討回顧
- 痛風與高尿酸患者的飲食治療
- The Initial Status and Outcomes of Newly Diagnosed Uremic Patients in Southern Taiwan
- 超音波檢查在慢性尿酸痛風石之臨床應用
- 痛風的治療及預防之道
- 運動與痛風;預防及藥物治療
- 運動與痛風、高尿酸血症之形成
頁籤選單縮合
題名 | Urate as a Cause of Rapidly Progressive Nephropathy=尿酸鹽沈積為快速進行性腎病變的原因之一 |
---|---|
作者姓名(中文) | 蔡文仁; 曾嶔元; 陳漢湘; 陳逸洲; 葉瑞圻; 吳志仁; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷期 | 19:1 民94.03 |
頁次 | 頁28-31+44 |
分類號 | 415.925 |
關鍵詞 | 痛風; 腎病變; 尿酸; 尿毒症; Gout; Nephropathy; Urate; Uremia; |
語文 | 英文(English) |
中文摘要 | 痛風性腎病變通常是一個嚴重性痛風關節炎的晚期表現。它的特徵是組織學上在腎髓質部和錐體部有單鈉尿酸鹽的結晶沈積伴隨著巨大細胞發炎反應。腎臟的慢性尿酸沈積在使用降尿酸藥物之後罕見造成不可逆的腎衰竭。我們提出一病例報告:一位三十七歲的女性過去有痛風性關節炎的病史六年,高血壓、慢性腎功能不全、有尿蛋白但未到腎病症候群的量漸漸地在她身上發生。她後來發生了快速進行性腎衰竭而致尿毒症並且需要透析治療。痛風性腎病變也應該列在臨床上對於一個長期痛風性關節炎患者身上發生急性腎功能異常的鑑別診斷之中。 |
英文摘要 | Gouty nephropathy is usually a late manifestation of severe gouty arthritis. It is characterized histologically by deposits of monosodium urate crystals accompanied by a giant cell inflammatory reaction in the medullary interstitium and pyramids. Chronic renal uric acid deposition rarely causes irreversible renal failure following hypouricemic therapy for gout. We present the case of a 37-year-old female with a six-year history of gouty arthritis who gradually developed hypertension, chronic renal insufficiency, and proteinuria in the subnephrotic range. The patient then progressed rapidly to uremia and required dialysis. Gouty nephropathy should be included in the differential diagnosis of an acute decrease in renal function in patients with long-standing gout. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。