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近5年来我国糖尿病患病人数增长近20%,糖尿病肾病(DKD)是糖尿病的并发症之一,蛋白尿是DKD较常见的临床表现,但并非所有出现蛋白尿的糖尿病患者均患有DKD.近几年糖尿病患者并发非糖尿病肾脏(NDRD)逐渐引起学者关注,DKD和NDRD的病变性质、治疗方法及预后截然不同,因此鉴别诊断较重要.延边大学附属医院近期收治了1例尿蛋白呈阳性的2型糖尿病患者,经检查确诊为合并多发性骨髓瘤(MM),现报告如下.
In the past five years, the number of diabetic patients in our country has increased by nearly 20%. Diabetic nephropathy (DKD) is one of the complications of diabetes. Proteinuria is a common clinical manifestation of DKD. However, not all diabetic patients with proteinuria have DKD. In recent years, diabetic patients with non-diabetic kidney (NDRD) gradually attracted scholars attention, DKD and NDRD lesions nature, treatment and prognosis is very different, so the differential diagnosis is more important.Yanbian University Hospital recently admitted 1 case of urine protein was positive Of patients with type 2 diabetes, diagnosed as complicated by multiple myeloma (MM), are as follows.