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C3肾小球病病理特点及诊断

曾彩虹

中国实用内科杂志2017,Vol.37Issue(9):781-785,5.
中国实用内科杂志2017,Vol.37Issue(9):781-785,5.DOI:10.19538/jnk2017090102

C3肾小球病病理特点及诊断

Pathological features and diagnosis of C3 glomerulopathy

曾彩虹1

作者信息

  • 1. 南京总医院国家肾脏疾病临床医学研究中心,江苏南京210000
  • 折叠

摘要

Abstract

C3 glomerulopathy is resulting from abnormal control of the complement altemative pathway due to genetic and acquired complement abnormalities.Renal biopsy shows C3 in glomeruli on immunofluorescence,but there is no Clq or C4,and there is minimal or no immunoglobulin.On the basis of electron microscopy, C3 glomerulopathy is divided into dense deposit disease (DDD) and C3 glomerulonephritis (C3GN).The morphology seen by light microscopy is variable and includes membranoproliferative pattern,endocapillary proliferation,mesangial proliferation,and crescentic glomerulonephritis.The diagnosis of C3 glomerulopathy dependS on renal biopsy.A biochemical evaluation of the AP,determination of autoantibodies,a comprehensive genetic screening,and testing for a plasma cell disorder should be considered.

关键词

C3肾小球病/致密物沉积病/C3肾小球肾炎/病理

Key words

C3 glomerulopathy/dense deposit disease/C3 glomerulonephritis/pathology

分类

医药卫生

引用本文复制引用

曾彩虹..C3肾小球病病理特点及诊断[J].中国实用内科杂志,2017,37(9):781-785,5.

中国实用内科杂志

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1005-2194

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