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肾脏疾病可引起继发性红细胞增多症,最常见的是肾囊肿或肾肿瘤,偶有弥漫性肾实质性病变引起红组胞增多症的病例报道。作者报告1例23岁男性患者,临床表现为肾病综合征,并发红细胞增多症,静脉肾盂造影和双侧选择性肾动脉造影均未见异常,肾脏活检显示局灶性硬化性肾小球肾炎和肾硬变,血清和尿中红细胞生成刺激素增加,血清红细胞生成刺激素两次检查结果为8％和10％(正常为1～3％放射性铁结合量),尿红细胞生成刺激素两次检查结果为18％和22％(正常为6～12％放射性铁结合量),血浆肾素活力测定在正常高值,卧位为8.3毫微克/毫升/
Kidney disease can cause secondary polycythemia, the most common is the renal cysts or kidney tumors, occasional diffuse renal parenchymal disease caused by red cell citrate disease cases reported. The authors report a 23-year-old man with clinical manifestations of nephrotic syndrome, polycythemia, intravenous pyelography and bilateral selective renal artery angiography showed no abnormalities, renal biopsy showed focal sclerosing glomerulonephritis and Renal cirrhosis, serum and urinary erythropoietic stimulating hormone increased, serum erythropoietin two test results were 8% and 10% (normal 1 to 3% of radioactive iron binding), urinary erythropoietin twice The results were 18% and 22% (normal 6-12% radioactive iron binding), plasma renin activity was measured at normal high values, lying in the 8.3 ng / ml /