ANCA相关血管炎继发肾淀粉样变性：1例病例报告

doi:10.24920/003999

Chinese Medical Sciences Journal ›› 2022, Vol. 37 ›› Issue (4): 359-362.doi: 10.24920/003999

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ANCA相关血管炎继发肾淀粉样变性：1例病例报告

何鑫¹,宁建平²,许辉²,肖宫²,阳惠湘¹,王维圆³,吴晓英³,尹红玲^3,^*(),李晓照^2,^*()

¹中南大学湘雅医院消化内科，长沙 410008
²中南大学湘雅医院肾内科，长沙 410008
³中南大学湘雅医院病理科，长沙 410008

收稿日期:2021-09-13 接受日期:2022-04-01 出版日期:2022-12-31 发布日期:2022-06-28
通讯作者: 尹红玲,李晓照 E-mail:Yhl99@yahoo.com.cn;lixiaozhao@csu.edu.cn

Renal Amyloidosis Secondary to ANCA-Associated Vasculitis: A Case Report

Xin He¹,Jianping Ning²,Hui Xu²,Gong Xiao²,Huixiang Yang¹,Weiyuan Wang³,Xiaoying Wu³,Hongling Yin^3,^*(),Xiaozhao Li^2,^*()

¹Department of Gastroenterology, Xiangya Hospital, Central South University, Changsha 410008, China
²Department of Nephrology, Xiangya Hospital, Central South University, Changsha 410008, China
³Department of Pathology, Xiangya Hospital, Central South University, Changsha 410008, China

Received:2021-09-13 Accepted:2022-04-01 Published:2022-12-31 Online:2022-06-28
Contact: Hongling Yin,Xiaozhao Li E-mail:Yhl99@yahoo.com.cn;lixiaozhao@csu.edu.cn

摘要/Abstract

摘要：

临床上继发于抗中性粒细胞胞浆抗体（anti-neutrophil cytoplasmic antibody，ANCA）相关血管炎的淀粉样蛋白A（amyloid A，AA）型淀粉样变性病例十分罕见。我们收治了1例77岁的ANCA相关血管炎女性患者。经活检取肾组织标本，Masson三色染色提示寡免疫复合物型新月体性肾小球炎；在电子显微镜下观察可见肾小球系膜区淀粉样物质沉积；免疫荧光染色显示λ轻链和κ轻链染色阴性。骨髓活组织检查未见浆细胞异常增生。最终，我们做出ANCA相关血管炎多血管炎继发AA型淀粉样变的诊断。

关键词: 抗中性粒细胞胞浆抗体相关性血管炎, 淀粉样变性

Abstract:

Renal amyloidosis secondary to anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis is extremely rare. Here, we reported a 77-year-old woman with ANCA-associated vasculitis. Renal biopsy with Masson trichrome staining showed pauci-immune crescentic glomerulonephritis, and electron microscopy showed amyloid deposition in the mesangial area. Immunofluorescence revealed kappa light chain and lambda light chain negative. Bone marrow biopsy revealed no clonal plasma cell. Finally, she was diagnosed as ANCA-associated vasculitis with secondary renal amyloid A amyloidosis.

Key words: anti-neutrophil cytoplasmic antibody-associated vasculitis, amyloidosis

Xin He,Jianping Ning,Hui Xu,Gong Xiao,Huixiang Yang,Weiyuan Wang,Xiaoying Wu,Hongling Yin,Xiaozhao Li. Renal Amyloidosis Secondary to ANCA-Associated Vasculitis: A Case Report[J].Chinese Medical Sciences Journal, 2022, 37(4): 359-362.

图/表 2

参考文献 7

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ANCA相关血管炎继发肾淀粉样变性：1例病例报告

Renal Amyloidosis Secondary to ANCA-Associated Vasculitis: A Case Report

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