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银屑病合并肾病综合征文献少有报道,近年收治2例(1例经肾活检),报告如下。 例1 男,44岁。患“银屑病”10年。入院前半月劳累、受凉后皮损增多,颜面及下肢浮肿,尿少400ml/日。查体:血压14.1/10kPa(106/75mmHg)。头皮、躯干及四肢伸侧较多硬币大红斑,表面较厚银白色鳞屑,点状出血(+)。眼睑浮肿。心肺无异常。腹部移动性浊音(+),肾区无叩击痛。双手指甲呈顶针样凹陷,下肢浮肿(++)。实验室检查:血红蛋白140g/L,白细胞6.5×10~9/L。尿蛋白(+++),24小时尿蛋白
Psoriasis nephrotic syndrome literature rarely reported in recent years, 2 cases (1 case of renal biopsy), the report is as follows. Example 1 Male, 44 years old. Suffering from “psoriasis” for 10 years. Half a month before admission tired, increased cold lesions, facial and lower extremity edema, oliguria 400ml / day. Physical examination: blood pressure 14.1 / 10kPa (106 / 75mmHg). Scalp, trunk and limbs stretch more coins big erythema, the surface of thick silver scales, punctate bleeding (+). Eyelid edema. No abnormal heart and lung. Abdominal motility dullness (+), perling area without percussion pain. Two-handed nails were thimble-like depression, lower extremity edema (++). Laboratory tests: hemoglobin 140g / L, white blood cells 6.5 × 10 ~ 9 / L. Urinary protein (+++), 24-hour urinary protein