IgA肾病是最常见的肾小球肾炎。以往的报告认为，血清肌酐升高是本病预后不佳的指标[1]。然而，晚近已有众多文献报道，IgA肾病本身即可并发急性肾功能衰竭（ARF）。对此，国内尚未引起关注，本文作扼要的综述。一、ARF发生率：IgA肾病并发ARF，从1977年起即有文献零星报告。最 IgA nephropathy is the most common glomerulonephritis. Past reports suggest that elevated serum creatinine is poor prognosis of the disease indicators [1]. However, there have been many reports recently that IgA nephropathy itself can be associated with acute renal failure (ARF). In this regard, the country has not yet caused concern, this article for a brief overview. First, the incidence of ARF: IgA nephropathy complicated by ARF, since 1977, there are sporadic reports of the literature. most