Pulmorenales Syndrom View Full Text


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Article Info

DATE

2019-03

AUTHORS

S. von Vietinghoff, H. Suhling

ABSTRACT

Das pulmorenale Syndrom im engeren Sinne ist die Kombination von renaler und pulmonaler Vaskulitis einschließlich einer nekrotisierenden extrakapillär-proliferativen Glomerulonephritis. Häufige Ursachen hierfür sind ANCA-assoziierte Vaskulitiden (ANCA: antineutrophile zytoplasmatische Antikörper), das Goodpasture-Syndrom und ein systemischer Lupus erythematodes. Darüber hinaus können andere Vaskulitiden wie etwa eine Purpura Schönlein-Hennoch oder eine kryoglobulinämische Vaskulitis ein pulmorenales Syndrom auslösen. Durch den Befall zweier lebenswichtiger Organe und die schnell fortschreitende Erkrankung handelt es sich um internistische Notfälle, bei denen eine rasche Diagnostik und häufig eine intensivmedizinische Unterstützung notwendig sind. Die kausale Therapie ist eine an die Grunderkrankung angepasste Immunsuppression. Wichtig ist deswegen die schnelle Diagnose, wofür ein breites Feld an Differenzialdiagnosen ebenfalls akut bedrohlicher Erkrankungen mit Nieren- und Lungenbeteiligung abzudecken ist. More... »

PAGES

143-154

Journal

TITLE

Der Nephrologe

ISSUE

2

VOLUME

14

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11560-019-0319-x

DOI

http://dx.doi.org/10.1007/s11560-019-0319-x

DIMENSIONS

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