Hypertensive renal disease: Histological aspects

Manoj Jain
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引用次数: 6

Abstract

Hypertensive nephropathy is one of the common causes of end-stage renal disease. Hypertension is intimately linked with the kidney as kidney diseases may lead to increased blood pressure and hypertension can be the cause of renal disease. Majority cases of hypertension are primary or essential. Renal parenchymal diseases and renovascular hypertension are important causes of secondary hypertension. Fibrous dysplasia and atherosclerosis constitute majority cases of renovascular hypertension. Renal diseases with hypertension has been divided in to the benign nephrosclerosis and malignant nephrosclerosis. Benign nephrosclerosis is characterized by hyaline arteriolosclerosis and intimal fibrosis and reduplication of internal elastic lamina of arcuate and interlobular arteries. Malignant hypertensive nephropathy is characterized by hyerplastic arteriolitis and fibrinoid necrosis of arterioles and glomeruli.

高血压肾病:组织学方面
高血压肾病是终末期肾脏疾病的常见病因之一。高血压与肾脏密切相关,因为肾脏疾病可能导致血压升高,高血压可能是肾脏疾病的原因。大多数高血压病例是原发性或原发性的。肾实质疾病和肾血管性高血压是继发性高血压的重要原因。纤维结构不良和动脉粥样硬化是肾血管性高血压的主要原因。高血压肾病分为良性肾硬化和恶性肾硬化。良性肾硬化的特征是透明小动脉硬化和内膜纤维化,弓状动脉和小叶间动脉内弹性层重复。恶性高血压肾病的特征是小动脉和肾小球的增生性小动脉炎和纤维蛋白样坏死。
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