Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Proliferative Glomerulonephritis with Monoclonal Immunoglobulin Light Chain Deposits: A Rare Entity Mimicking Immune-Complex Glomerulonephritis
Atsushi KomatsudaMizuho NaraHiroshi OhtaniTakashi NimuraKenichi SawadaHideki Wakui
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JOURNALS OPEN ACCESS

2012 Volume 51 Issue 23 Pages 3273-3276

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Abstract

A 39-year-old man developed proteinuria, hematuria, and renal insufficiency. A renal biopsy revealed the presence of mesangial proliferative glomerulonephritis with monoclonal λ-light chain deposits without evidence of immunoglobulin G (IgG), immunoglobulin A (IgA) or immunoglobulin M (IgM) deposits. Electron microscopy revealed granular electron-dense deposits resembling immune-complex deposits. No monoclonal proteins were detected in the serum or urine. The patient was treated with an angiotensin II receptor antagonist, and his condition was almost stable during the 1-year follow-up. This case shares common pathological characteristics with the newly described entity referred to as "proliferative glomerulonephritis with monoclonal IgG deposits" in which, glomerular deposits are composed entirely of monoclonal IgG. Therefore, we term the unusual form of glomerulonephritis observed in the present case "proliferative glomerulonephritis with monoclonal immunoglobulin light chain deposits."

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© 2012 by The Japanese Society of Internal Medicine
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