4,655 results match your criteria: "Glomerulonephritis Membranoproliferative"

Background: About 4-7% of renal biopsies show a monoclonal gammopathy-related nephropathy, such as AL amyloidosis, cast nephropathy, or light chain deposition disease. Both a high prevalence and a causal role of monoclonal gammopathy have been observed in patients with C3 glomerulopathy or thrombotic microangiopathy, although a definitive causative role cannot be established in most cases (potentially monoclonal gammopathy-related nephropathies). A coexisting monoclonal gammopathy has been identified in many cases of nephropathy without a defined causative role (monoclonal gammopathy-unrelated nephropathies).

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Background: Since the introduction of the SLICC criteria in 2012, biopsy-proven lupus nephritis (LN) has been the only independent diagnostic criterion for systemic lupus erythematosus (SLE). This was reaffirmed by the EULAR/ACR in 2019, emphasizing the importance of renal biopsy in LN. However, the current classification lacks specific histopathological criteria for defining LN.

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Several cases of glomerulonephritis occurring after infection with human parvovirus B19 (PVB19) have been reported. However, the pathogenesis and clinicopathological features of PVB19-related glomerulonephritis remain elusive. We describe the case of a 34 year-old woman who showed nephrotic syndrome and microscopic hematuria 10 days after PVB19 infection.

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C3 glomerulonephritis (C3GN) is rare. It is a proliferative glomerulonephritis resulting from glomerular deposition of complement factors due to dysregulation of the alternative pathway of complement. The association between monoclonal protein production and development of C3GN was described.

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Article Synopsis
  • Membranous proliferative glomerulonephritis (MPGN) is a rare kidney condition characterized by specific pathological changes, observed in a 77-year-old man with mild proteinuria and hematuria.
  • Laboratory tests indicated elevated MPO-ANCA levels and a renal biopsy showed distinct features that confirmed MPGN type 3.
  • The patient responded well to treatment with an SGLT2 inhibitor and the case raises questions about the association between high MPO-ANCA levels and latent tuberculosis infection, suggesting a potential link that needs further investigation.*
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[What is proven in the treatment of complement-mediated kidney diseases?].

Inn Med (Heidelb)

December 2024

Klinik für Nieren- und Hochdruckerkrankungen, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Article Synopsis
  • Complement-mediated kidney diseases are caused by dysregulation of the complement system, an essential part of the immune system that can lead to kidney damage if overactivated.
  • Key diseases in this category include atypical hemolytic uremic syndrome (aHUS) and C3 glomerulopathy, which require thorough diagnosis including genetic testing and assessment of complement factors.
  • Recent advancements in treatments specifically targeting complement system activation show promise and differ from traditional immunosuppressive therapies, highlighting the need for interdisciplinary approaches in research and treatment.
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Article Synopsis
  • - This case report details an unusual instance of acute kidney injury (AKI) along with nephrotic syndrome in a Pacific Islander who also had acute HIV and hepatitis B virus (HBV) coinfections, ultimately requiring hemodialysis.
  • - The patient fully recovered and ceased dialysis after receiving high-dose steroids and antiviral treatment, with the renal biopsy showing signs of both HIV-associated and HBV-associated nephropathy, as well as significant CD8 lymphocyte infiltration.
  • - The report underscores management challenges, particularly regarding the decision to start antiviral treatment alongside immunosuppressive therapy, and notes that combined nephropathy in HIV-HBV co-infection is extremely rare and has not been previously reported.
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Dysregulation of the alternative pathway of complement plays a central role in the pathophysiology of C3 Glomerulopathy (C3G). Various autoimmune and genetic factors targeting the alternative pathway have been associated to both C3G and primary Immunoglobulin-associated Membranoproliferative Glomerulonephritis (Ig-MPGN), suggesting shared pathophysiological mechanisms. This review highlights the wide range of disease drivers identified that mainly target components or protein complexes of the alternative pathway, both in C3G and Ig-MPGN.

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Article Synopsis
  • Membranoproliferative glomerulonephritis (MPGN) is a kidney condition identified through biopsy, with various causes, and this study explores data from a UK renal center over 20 years.* -
  • The study involved 38 identified patients, primarily older (median age 61), with a significant percentage suffering from immune complex-mediated MPGN, and highlighted treatment approaches and clinical outcomes.* -
  • Findings indicated that nearly 50% of patients progressed to end-stage kidney disease (ESKD) or died, suggesting the need for personalized patient management and further research to improve understanding and outcomes.*
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Hepatitis C-Induced Immunoglobulin A (IgA) Nephropathy: An Uncommon Cause of Hematuria.

Cureus

September 2024

General Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Article Synopsis
  • IgA nephropathy, or Berger's disease, is marked by IgA deposits in the kidney and can lead to serious conditions like rapidly progressive glomerulonephritis.
  • Hepatitis C virus (HCV) is mainly known for liver issues but can also cause renal problems; however, IgA nephropathy linked to HCV is rare.
  • A case study of a 24-year-old man with untreated HCV showed serious kidney issues leading to a diagnosis of IgA nephropathy, but treatment improved his condition, highlighting the need for awareness and early intervention in HCV-related kidney complications.
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An Updated Comprehensive Review on Diseases Associated with Nephrotic Syndromes.

Biomedicines

October 2024

Department II of Internal Medicine, Center for Molecular Medicine Cologne, Faculty of Medicine, University Hospital Cologne, University of Cologne, 50937 Cologne, Germany.

Article Synopsis
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Article Synopsis
  • The study classifies membranoproliferative glomerulonephritis (MPGN) into two types: immune complex-mediated and complement-mediated, based on immunofluorescence results, using data from a 20-year period at a major medical institution in Pakistan.
  • Out of 213 patients, the majority (76.5%) were found to have immune complex-mediated MPGN, with both groups showing similar demographics and clinical presentations, but differing treatment outcomes.
  • Immune complex-mediated MPGN had better remission rates and renal survival compared to complement-mediated MPGN, which had higher progression to end-stage kidney disease (ESKD) and greater overall mortality.
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A Case Series of Monoclonal Immunoglobulin-Depositing Proliferative Glomerulonephritis.

Indian J Nephrol

July 2024

Department of Nephrology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Proliferative glomerulonephritis with monoclonal immunoglobulin deposition disease (PGNMIDD) is a rare entity. We evaluated the clinicopathological features of PGNMIDD and the effectiveness of different treatment regimens in 13 cases diagnosed using kidney biopsy. Most had chronic kidney disease followed by acute nephritic syndrome, rapidly progressive glomerulonephritis, and nephrotic syndrome.

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Article Synopsis
  • A middle-aged woman diagnosed with breast cancer developed worsening kidney issues, leading to nephrotic syndrome characterized by proteinuria and hematuria.
  • After receiving hormone therapy for her cancer, a kidney biopsy showed signs of IgA nephropathy, ruled out other potential causes.
  • Following breast cancer surgery and radiation, her kidney symptoms improved significantly, indicating a possible paraneoplastic glomerulopathy related to her breast cancer.
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Hepatitis C virus (HCV) has emerged as a major global health concern and, if left untreated, can lead to significant liver damage, including cirrhosis, decompensated liver disease, and hepatocellular carcinoma (HCC). Approximately 40% of patients with HCV infection experience extrahepatic manifestations, including renal involvement. HCV-related renal disease is of significant importance among patients with chronic kidney disease (CKD), leading to higher morbidity and mortality.

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Article Synopsis
  • * In a study with female A/J mice, VC injection led to severe kidney damage resembling human membranoproliferative glomerulonephritis, indicating potential renal risks associated with these compounds.
  • * RNA-Seq analysis revealed significant changes in gene expression related to the complement and coagulation pathways, highlighting a dysregulated immune response with key complement factors being altered, suggesting that exposure to EC and VC may disrupt normal kidney function.
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Article Synopsis
  • Monoclonal gammopathy of renal significance (MGRS) is characterized by kidney issues linked to abnormal immunoglobulin production, found in patients without specific treatment criteria for hematological diseases.
  • The three cases discussed include a patient with chronic lymphocytic leukemia and monoclonal membranoproliferative glomerulonephritis, a second patient with IgM MGUS presenting renal thrombotic microangiopathy, and a third with immunotactoid glomerulonephritis likely due to small B-cell lymphoma.
  • Each case highlights unique renal complications tied to the presence of monoclonal proteins and emphasizes the challenges in diagnosis and management of MGRS in different
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Fibronectin glomerulopathy in an elderly patient with FN1 gene mutation: a case report and literature review.

BMC Nephrol

September 2024

Department of Laboratory Medicine, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu, 42415, Republic of Korea.

Background: Fibronectin glomerulopathy (FNG) is a rare autosomal dominant glomerulopathy that can lead to nephrotic syndrome. Here we report the case of an elderly patient diagnosed with FNG, exhibiting nephrotic-range proteinuria, with a 2-year follow-up.

Case Presentation: A 75-year-old Korean female visited the nephrology clinic after experiencing generalized edema for 2 months.

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Case report: membranoproliferative glomerulonephritis associated with Q fever causing chronic endocarditis.

BMC Nephrol

September 2024

Department of Internal Medicine and Nephrology, Herz-Jesu-Krankenhaus Münster-Hiltrup, Münster-Hiltrup, Germany.

Background: Membranoproliferative glomerulonephritis is a rare entity which can be a result from autoimmune diseases, caused by various medications and infections.

Case Presentation: We herein present the case of a 62-year-old male patient who presented with fatigue and was found to have severe anemia, impaired renal function, and nephrotic syndrome. A renal biopsy revealed membranoproliferative glomerulonephritis (MPGN) of the immune complex type with activation of the classical complement pathway.

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Article Synopsis
  • * A total of 277 children participated, with the majority being male, and the most common reasons for biopsy included atypical ages and steroid resistance.
  • * The leading histopathological finding was focal segmental glomerulosclerosis (FSGS), indicating that renal biopsies are safe and effective in diagnosing and managing kidney disorders in pediatric patients.
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Background: Sunitinib, a multi-targeted tyrosine kinase inhibitor, is used as a second-line therapy for gastrointestinal stromal tumors (GIST) resistant to imatinib. However, its impact on the vascular endothelial growth factor (VEGF) pathway can lead to significant toxicities, including hypertension and thrombotic microangiopathy (TMA).

Case Presentation: This case report describes a unique instance of a patient with metastatic GIST who developed endocapillary proliferative glomerulonephritis (EPGN) with IgA2 deposits and TMA following sunitinib treatment.

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