▲ A 30-year-old woman had proteinuria as soon as she basked in the sun, and she sought a medical certificate for stage 3 renal failure to reveal a hidden disease.
Generally speaking, although the majority of patients with dialysis and chronic renal failure are the elderly, some doctors pointed out that young people may also suffer from renal failure. I was exhausted and sought a doctor. Because the patient developed proteinuria every day following sun exposure, it was discovered following examination that it was caused by “lupus erythematosus”. Now he has entered the third stage of chronic renal failure, and his renal function is only similar to one. 80 or 90 year old lady.
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Hong Yongxiang, a nephrologist, mentioned in the program “Healthy and Good Life” that the female patient was only in her 30s. When she first consulted, she was found to have proteinuria, and the glomerular filtration index was only 55 points. The wife is no different. After further questioning, it was found that the patient’s proteinuria occurred every day following sun exposure, and erythema would appear on his face. This series of symptoms made him “probably know what’s going on!” The patient later He was finally diagnosed with lupus erythematosus.
▲ The doctor pointed out that the patient’s proteinuria occurred every time following sun exposure, and erythema would be accompanied on the face. (Screenshot of “Healthy and Good Life” video)
Hong Yongxiang said that lupus erythematosus will attack various organs, and it will also attack the kidneys to cause chronic nephritis. The patient’s kidneys were attacked by lupus erythematosus, leading to the third stage of chronic renal failure. Hong Yongxiang subsequently used steroids and immune preparations to help patients with lupus erythematosus, so that proteinuria was controlled, and the patient’s renal function returned to 70 points.
However, Hong Yongxiang also added that lupus erythematosus cannot be cured, and the patient must control it for a lifetime; and the organs will age every year, so the patient’s renal function will still decline.
As far as she is concerned, I think the probability of kidney dialysis is very high in the future, and I remind everyone that it is not only the elderly who suffer from kidney failure.
Click on the image below to view the symptoms of chronic renal failure:
According to Hong Kong rheumatology data, it is estimated that regarding 60 out of every 100,000 Hong Kong people suffer from systemic lupus erythematosus. Symptoms include persistent high fever, mouth or throat ulcers, hair loss, and some people may also experience red spots on the bridge of the nose and cheeks, forming butterfly-shaped mottles. Some patients may experience joint pain and swelling, leading to arthritis. In addition, systemic lupus erythematosus can cause serious complications that affect systemic functions, including kidney failure, cardiovascular disease, stroke, infection, etc.
Among them, the effects of kidneys and joints are more common in patients with systemic lupus erythematosus. More than 90% of patients will develop nephritis of varying degrees, and some may even lead to renal failure and fatal. Another 80-90% of patients will have varying degrees of joint pain.
Zhang Zheng, a specialist in rheumatology, said that patients with lupus nephritis must be actively treated, even if the condition is relieved, they should not be taken lightly, to prevent recurrence, “because each recurrence will cause more serious damage to kidney function, and the more the number of recurrences. , the greater the chance of progression to kidney failure.”
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Responsible editor: Luo Jiaxin