Néphropathies au cours des maladies hépatiques

N. Kamar , S. Thebault , L. Rostaing , L. Alric
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Abstract

Liver disease may be directly or indirectly responsible of renal diseases. The most frequent nephropathies observed in patients with liver disease are: IgA nephropathy in alcoholic patients, cryoglobulinemic or non-cryoglobulinemic membranoproliferative glomerulonephritis, as well as membranous glomerulonephritis in patients infected by hepatitis B or C viruses, and finally the hepatorenal syndrome. Complementary investigations should be undertaken in any patient suffering from a liver disease and presenting with an impairment of the renal function in order to implement the most adequate specific therapy.

肝病期间的肾病
肝脏疾病可直接或间接导致肾脏疾病。肝病患者最常见的肾病是:酒精患者的IgA肾病、冷球蛋白血症或非冷球蛋白血症的膜性增殖性肾小球肾炎,以及乙型或丙型肝炎病毒感染患者的膜性肾小球肾炎,最后是肝肾综合征。对于任何患有肝脏疾病并表现出肾功能损害的患者,应进行补充调查,以便实施最适当的特异性治疗。
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