IgG4-related tubulointerstitial nephritis and lymphadenopathy after therapy for malignant lymphoma

Autor: Naoki Hasegawa, Yukio Kakuta, Ryosuke Usui, Shun Manabe, Michiyasu Hatano, Kosaku Nitta, Yasuko Oshima
Rok vydání: 2012
Předmět:
Zdroj: Internal medicine (Tokyo, Japan). 51(10)
ISSN: 1349-7235
Popis: We report a middle-aged Japanese man who had a past history of malignant lymphoma with tubulointerstitial nephritis (TIN) presenting a high serum immunoglobulin G4 (IgG4) concentration and bilateral kidney enlargement and swelling of many lymph nodes. Although lymph node biopsy was not evident of a recurrence of lymphoma, kidney biopsy showed prominent infiltration of IgG4-positive plasma cells in a tubulointerstitial lesion but not in glomeruli. We made a diagnosis of IgG4-related TIN and lymphadenopathy; administration of oral prednisolone improved his physical and laboratory parameters. This is the first report of a case of IgG4-related TIN and lymphadenopathy after therapy for malignant lymphoma.
Databáze: OpenAIRE