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系膜IgA肾病,又称Berget氏病。1968年Ber—ger等氏首先描述IgA肾病以来,引起了学者们对本病的关注。近年很多国家IgA肾病有增多趋势。国内关于本病报导较少,现将本院临床诊断IgA肾病并经肾穿刺活检证实者1例报告如下,并复习有关文献进行讨论。男性,20岁,学生。1982年9月1日开始发烧、嗓子痛、双侧腰部酸痛,4日出现肉眼血尿。9日以“急性肾炎”住院。素日体健,家族史无特殊记载,体检无异常。化验:尿蛋白微——廿,尿中红细胞满视野/高倍,颗粒管型2—3个低倍,IgG1809mg/d1,IgM48mg/d1,IgA1136mg/d1,血常规、血沉、肝功、血脂,ASO、BUN、Cr、Ccr、PsP均正常,尿培养(一)尿查结核菌(一)。静脉肾盂造影正常。
Mesangial IgA nephropathy, also known as Berget’s disease. 1968 Ber-ger et al. First described IgA nephropathy has attracted scholars attention to the disease. IgA nephropathy in many countries in recent years there is an increasing trend. Domestic reports on the disease less, now the hospital clinically diagnosed IgA nephropathy confirmed by renal biopsy in 1 case report below, and review the literature for discussion. Male, 20 years old, student. September 1, 1982 began to have a fever, sore throat, bilateral lower back pain, 4 days gross hematuria. On the 9th to “acute nephritis” hospitalization. Su-day health, family history no special records, no abnormal physical examination. Laboratory: Urine protein micro-twenty, urinary red blood cells full field / high, particle tube type 2-3 low, IgG1809mg / d1, IgM48mg / d1, IgA1136mg / d1, blood, ESR, liver function, , BUN, Cr, Ccr, PsP are normal, urine culture (a) urine test tuberculosis (a). Intravenous pyelography normal.