Sunday, May 18, 2008

Vigilance primary vasculitis lead to kidney damage

A clinical performance: M PA and WG occurs in the elderly, men多见. Patients with early disease are more systemic symptoms like fever (low heat or high fever), weight loss, anemia, skin purpura, muscle pain, joint pain and peripheral neuritis, these symptoms of the disease is not specific, but suggested that the disease is Significance. Most likely to suffer kidney, patients showed nephritis syndrome (both hematuria, a «three cases have gross hematuria, glomerular source hematuria), is still a small number of patients with nephrotic syndrome. Renal damage was carried out, as well as acute renal failure. The extent of involvement of pulmonary easy Habitat Secondly, the patients cough, hemoptysis and shortness of breath, light, with only sputum Blood-streaked phlegm, weight, even hemoptysis choked to death. Chest X-ray inspection, M PA can lobular pneumonia-like shadow of a widespread or pulmonary hemorrhage shadow (the shadow-intensive small powder form, by the hilar to the expansion of a butterfly on both sides of lung field, the upper and lower lung field clear), while the main WG Limitations or cavity with necrotizing pneumonia (one to several round or oval-shaped thin-walled empty). WG involved in addition to the lower respiratory tract, often arising from violations of the upper respiratory tract, such as sinusitis. In addition to kidney and lung, other organs such as the central nervous system (cerebral infarction and cerebral hemorrhage), heart (myocardial infarction), the digestive system (abdominal pain, bleeding, pancreatitis and cholecystitis) and the reproductive system (testicular inflammation) can be involved, And eyes (keratitis, scleritis, pigment uveitis and retinopathy), ears (nerve deafness) disease is not uncommon. 2 pathological changes: M PA and WG major violations of arteries, capillaries and veins of small, often for small vessels of multiple organ system involvement, and basic diseases for the vessel wall leukocyte infiltration and cellulose-like necrosis. WG peripheral vascular disease can also be seen in the characteristics of granuloma (by the large number of monocytes, multinucleated giant cells, epithelial cells and fibroblasts cells). Kidney involvement, the light microscope examination showed glomerular necrosis and cellulose-like (or) crescent formation, WG patients can be found in the renal interstitial granuloma. Kidney arteries can be a vasculitis performance, but also the normal (it is not because of the kidney arteries normal and that the disease). Immunofluorescence check glomeruli often no, or only trace of non-specific immune sediment (and thus the disease is also known as "micro autoimmune nephritis"). Electron microscope examination of a dense presence.

Thursday, May 8, 2008

How to treat simple renal cysts

Because most simple renal cysts are less bulky, silent and do not affect renal function, and naturally slow or will not change what happens, it generally without treatment, but it should be reviewed every six months to a year. For more than four centimeters in diameter larger cysts, could be considered out of puncture, and then into ethanol or tetracycline cyst sclerosis treatment to prevent recurrence. Preoperative patients need to check blood platelet count, bleeding, clotting time, B super-positioning, the B-probe guidelines (B-intervention) downlink renal cysts sclerosis treatment. Acupuncture will puncture into the cyst, cyst on first taking the best out net, and then injected extracts of 1 / 4 of anhydrous alcohol, as much as possible so that patients with changes in body position so that the liquid wall with full access, 5 Minutes after taking liquid, Needle observation after the operation in January review.

Common type of renal cysts

Renal cysts in the kidneys there is the size of the same with the outside world is not a generic term for cystic mass, common renal cysts can be divided into adult polycystic kidney disease, renal cysts and access to simple renal cysts. Adult polycystic kidney disease is a congenital genetic diseases, kidney, with countless real size of the same with the outside world is not the radio cyst, capsule containing liquid, small naked eye can not see, can be several large PCT Metres, it called polycystic kidney disease. For nocturnal enuresis increased performance, low back pain, high blood pressure, and so on. A urine test urine, a small amount of proteinuria often slow to develop into chronic renal failure. 10% of people with kidney stones, 30 percent of the people with polycystic liver. Experienced doctors with B-, IVP can be confirmed. Simple renal cysts may be a congenital abnormality, is the unilateral or bilateral renal and a number of size or the radio is not connected with the outside world Nangqiang, the majority is unilateral, so that simple renal cysts. The incidence of any age can increase the growth, over the age of 50 B-do people, 50 percent can be found that the cyst. With B-, CT can be confirmed. Acquired renal cysts, mainly due to uremia, or after the dialysis treatment. Has nothing to do with age, and with time on hemodialysis. Kidneys did not renal cysts, it was reported in the literature, dialysis for more than three years, most patients will cyst. One of its renal cysts at least four in diameter to more than 2 to 3 centimeters, some cyst infection can occur, and even cancer, B-ultrasound or CT scan can be confirmed.