Nephrotic Syndrome Secondary to Proliferative Glomerulonephritis with Monoclonal Immunoglobulin Deposits of Lambda Light Chain

Autor: Yun, Seongseok, Braunhut, Beth L., Walker, Courtney N., Bhati, Waheed, Sussman, Amy N., Anwer, Faiz
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Case Reports in Nephrology.
ISSN: 2090-6641
DOI: 10.1155/2014/164694
Popis: We describe a rare case of a 46-year-old woman with history of refractory nephrotic syndrome and hypertension who presented with worsening proteinuria and kidney function. Work-up for both autoimmune and infectious diseases and hematologic malignancies including multiple myeloma were negative. Kidney biopsy demonstrated glomerular sclerotic change with lambda light chain deposits in the subendothelial space, which is consistent with proliferative glomerulonephritis with monoclonal immunoglobulin deposit (PGNMID). The patient was treated with bortezomib and dexamethasone without clinical improvement and eventually became hemodialysis dependent.
Databáze: OpenAIRE