Volume 4,Issue 5
IgA肾病合并Alport 综合征1例
IgA肾病(IgAN)是全球最常见的原发性肾小球疾病,也是终末期肾病的重要病因之一。Alport综合征(AS)为少见遗传性基底膜肾病,以血尿、肾功能进行性减退为主要表现。IgA肾病合并Alport综合征临床极为罕见,发病机制尚不明确,尚无统一规范的诊疗方案,患者总体预后欠佳。本文报道1例两种疾病共存的病例,结合临床、实验室及病理检查明确诊断,予针对性综合治疗。经长期规律随访,患者肾功能、尿蛋白等指标控制良好,病情稳定,为临床类似病例的早期识别、诊断与个体化治疗提供参考。
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