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肾性尿崩症是一种罕见的肾小管功能异常疾病,临床特征与垂体性尿崩症相似,表现为多尿,烦渴,多饮及低比重尿。肾性尿崩症病因可为先天性与继发性,继发因素多见肾小管疾病,本文继发于紫癜肾,现报道如下: 男,60岁。住院号14076。因双下肢散在皮疹3日,呈针尖大小,压之不退色,诊断为过敏性紫癜,并给予抗过敏治疗,10天后双下肢皮疹消退,但出现腹痛,便血,考虑为腹型紫癜,给予止血,保护胃粘膜及小剂量激素治疗一周,经上述治疗后,腹痛好转,便血消失。但患者淅渐出现面部及下肢浮肿,头晕,乏力,查BP24/15kPa,尿:蛋白+++,RBC10～5。
Renal diabetes insipidus is a rare renal tubular dysfunction disease, clinical features and pituitary diabetes insipidus similar to the performance of polyuria, polydipsia, polydipsia and low specific gravity of urine. The causes of nephrogenic diabetes insipidus may be congenital and secondary, secondary factors common tubular disease, this article secondary to Purpura, are reported as follows: Male, 60 years old. Hospital number 14076. Because of the lower extremities scattered rash on the 3rd, was the size of the tip, the pressure of the fade, diagnosis of allergic purpura, and given anti-allergic treatment, 10 days after the double lower extremity rash subsided, but abdominal pain, blood in the stool, considered as abdominal purpura, give stop bleeding , To protect the gastric mucosa and small dose of hormone treatment for a week, after the above treatment, abdominal pain improved, blood in the stool disappeared. However, patients gradually appear facial and lower extremity edema, dizziness, fatigue, check BP24 / 15kPa, urine: protein +++, RBC10 ~ 5.