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| 당뇨병에 병발된 막성사구체 신염 3예 |
| 안우석 , 원현상 , 홍성표 , 이태원 , 임천규 , 김명재 , 양문호 , 김봉희 , 안재형 |
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| Abstract |
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A diagnosis of diabetic nephropathy can be made by the long duration of diabetes with progressive proteinuria, azoternia, and the presence of retino- pathy. However, Diabetic patients with proteinuria who have a short duration of diabetes, or persistent hematuria, or no retinopathy should be suspected of the superimposed glomerulopathy. Because of signi- ficant differences in natural history and response to steroid therapy between diabetic nephropathy and primary glomerulopathy, the performance of a dia- gnostic renal biopsy need to be considered. Recently, We experienced three patients with diabetes mellitus and membranous glornerulonephritis who underwent renal biopsies because of unusual clinical features. In spite of heavy proteinuria, they had no evidence of diabetic retinopathy, and preserved normal renal function, and their durations of diabetes were less than 10 years. Microscopic examination of renal bio- psy matarials disclosed pure membran@ous nephro- pathy in three patients. |
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