Renal involvement in primary Sjogren's syndrome

被引:56
|
作者
Evans, Rhys [1 ]
Zdebik, Anselm [1 ]
Ciurtin, Coziana [2 ]
Walsh, Stephen B. [1 ]
机构
[1] UCL, Sch Med, UCL Ctr Nephrol, London NW3 2PF, England
[2] Univ Coll London Hosp, Dept Rheumatol, London, England
关键词
Sjogren's syndrome; tubulointerstitial nephritis; autoimmune epithelialitis; Th17; cells; B cells; distal renal tubular acidosis; Fanconi syndrome; autoantibodies; vasculitis; hypocomplementaemia; CARBONIC-ANHYDRASE-II; TUBULAR-ACIDOSIS; DOUBLE-BLIND; INTERSTITIAL NEPHRITIS; RITUXIMAB TREATMENT; SALIVARY-GLANDS; AUTOIMMUNE; AUTOANTIBODIES; PATIENT; CELLS;
D O I
10.1093/rheumatology/kev223
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
SS is a prevalent and underdiagnosed systemic disease that primarily affects epithelial tissue. It may affect renal function either as epithelial disease causing tubulointerstitial nephritis or as an immune complex-mediated glomerulopathy. These lesions may cause a variety of clinical features, both overt and occult. The epithelial disease is mediated by B and T cells, notably the Th17 subtype. We review the prevalence of renal SS, its presentation, likely pathogenesis and treatment.
引用
收藏
页码:1541 / 1548
页数:8
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