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首页> 外文期刊>Clinical Pediatrics >Nephrotic syndrome in an African American female
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Nephrotic syndrome in an African American female

机译：非洲裔美国女性的肾病综合征

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An 11-year-old African American female with no significant past medical history presented to the clinic for evaluation of edema for 1 week. She had an afebrile upper respiratory infection 2 weeks prior to admission. Rapid strep test was negative and no specific treatment was required. A few days later she developed progressive facial and lower extremity edema, abdominal distension, and a mild decrease in urine output for the last 2 days. Patient denied any respiratory distress, abdominal pain, or fever. There was no history of gross hema-turia or dysuria. No history of arthralgia, rash, or oral ulcers. She denied taking any medications, including nonsteroidal anti-inflammatory drugs. Family history was unremarkable. On physical exam, she was an obese female with anasarca. She weighed 86 kg (>95%) and her blood pressure was 110/67 without an orthostatic component. She had moderate facial and periorbital edema, pitting edema in her lower extremities and abdominal distension. No lymphadenopathy was appreciated.
机译：一名无明显病史的11岁非洲裔美国女性到诊所接受了1周的水肿评估。入院前2周她出现了发热性上呼吸道感染。快速链球菌试验为阴性，不需要特殊治疗。几天后，她出现了进行性的面部和下肢浮肿，腹胀以及最近两天尿量的轻度下降。患者否认有呼吸困难，腹痛或发烧。没有大血肿或排尿困难的病史。无关节痛，皮疹或口腔溃疡病史。她否认服用任何药物，包括非甾体类抗炎药。家族史并不明显。体检时，她是肥胖的阿纳萨卡女性。她体重86公斤（> 95％），血压为110/67（无立位组件）。她患有中度面部和眶周水肿，下肢点状水肿和腹胀。没有淋巴结肿大被赞赏。

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