Болезнь минимальных изменений и стероид-чувствительный нефротический синдром у детей: одна или две болезни?
Аннотация
Более трех десятилетий прошло после глобального исследования ISKDC (1981) нефротического синдрома у детей, позволившего сделать определенные рекомендации, такие как не проводить нефробиопсию у детей в дебюте заболевания и в случае положительного ответа на стероидную терапию признавать у больного наличие болезни минимальных изменений. Однако в последние годы отмечается прирост ФСГС у детей с первичным НС, в дебюте которого возможна стероидная чувствительность. В связи с чем следует пересмотреть восприятие первичного нефротического синдрома в детском возрасте как доброкачественное с благоприятным исходом. Более того, болезнь минимальных изменений, в патогенезе которой традиционно рассматривали только клеточно-опосредованный механизм, может развиваться и при других нарушениях, таких как дисрегуляция экспрессии CD80 на подоцитах или деструкция подоцита в связи с мутацией генов структурных белков последнего.
Об авторе
Эдита Константиновна Петросян
Российский Национальный исследовательский медицинский университет
Россия
Россия
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Рецензия
Для цитирования:
Петросян Э.К. Болезнь минимальных изменений и стероид-чувствительный нефротический синдром у детей: одна или две болезни? Нефрология. 2016;20(2):33-38.
For citation:
Petrosyan E.K. Minimal change disease and steroids sensitive nephrotic syndrome in children: one or two diseases? Nephrology (Saint-Petersburg). 2016;20(2):33-38. (In Russ.)
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