临床儿科杂志 ›› 2021, Vol. 39 ›› Issue (7): 549-.doi: 10.3969/j.issn.1000-3606.2021.07.017

• 文献综述 • 上一篇    下一篇

儿童原发性膜性肾病研究进展

王忍 1 综述, 高春林 2, 夏正坤 1 审校   

  1. 1. 南京医科大学金陵临床医学院(东部战区总医院)儿科;2. 东部战区总医院儿科(江苏南京 210002)
  • 发布日期:2021-07-01
  • 通讯作者: 基金项目:江苏省科学技术厅项目(No.BE 2017719);江苏省卫生和计划生育委员会项目(No.CXTDA 2017022)

Research progress in primary membranous nephropathy in children

Reviewer: WANG Ren1 , Reviser: GAO Chunlin2 , XIA Zhengkun3   

  1. 1 . Department of Pediatrics, Jinling Hospital, Nanjing Medical University, Nanjing 210002 , Jiangsu, China; 2 . Department of Pediatrics, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University, Nanjing 210002, Jiangsu, China
  • Published:2021-07-01

摘要: 原发性膜性肾病(PMN)是儿童期罕见的一种肾病病理类型,临床表现为肾病综合征或无症状蛋白尿,常伴 镜下血尿、氮质血症或高血压;病理特征为肾小球基底膜增厚伴或不伴钉突形成,颗粒状IgG和补体C 3沿肾小球毛细血 管襻沉积。近年来儿童PMN发病率升高引起国内外学者的关注,但其发病机制尚不清楚,且无统一的治疗方案。文章综 述近年PMN的研究现状。

关键词: 膜性肾病; 原发性; 儿童

Abstract: Primary membranous nephropathy (PMN) is a rare pathological type of nephropathy in childhood. The clinical manifestations are nephrotic syndrome or asymptomatic proteinuria, often accompanied by microscopic hematuria, azotemia or hypertension. The pathological features are glomerular basement membrane thickening with or without spike formation and deposits of granular IgG and complement C 3 along the glomerular capillary loops. In recent years, the incidence of PMN in children has increased, but the pathogenesis of PMN in children is still unclear, and there is no uniform therapeutic protocol. This article summarizes the research status of PMN in recent years.

Key words: membranous nephropathy; primary; child