Crescentic Glomerulonephritis in IgA Multiple Myeloma: A Case Report

被引：4
|
作者：
Moscoso-Solorzano, Grace T. [1 ,2 ,4 ]
Madureira-Silva, Marcus V. [1 ,2 ]
Balda, Carlos [2 ]
Franco, Marcello F. [3 ]
Mastroianni-Kirsztajn, Gianna [1 ,2 ]
机构：
[1] Univ Fed Sao Paulo, Glomerulopathy Sect, Sao Paulo, Brazil
[2] Univ Fed Sao Paulo, Div Nephrol, Sao Paulo, Brazil
[3] Univ Fed Sao Paulo, Dept Pathol, Sao Paulo, Brazil
[4] Serv Murciano Salud, Lorca, Spain
来源：
NEPHRON EXTRA | 2011年 / 1卷 / 01期
关键词：
B-cell dyscrasia; Crescents; Glomerulonephritis; Multiple myeloma; Rapidly progressive glomerulonephritis;
D O I：
10.1159/000331217
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Background: There are few reports of glomerulonephritis (GN) with crescents and a rapidly progressive course that lead to a diagnosis of a previously unsuspected B-cell dyscrasia. Case Presentation: We report a case of rapidly progressive GN: the patient showed no evidence of etiology at the time of biopsy and was diagnosed as IgA multiple myeloma (MM) during investigation based on a renal biopsy. He presented diffuse proliferative and exudative GN and marked plasma cell infiltration of the kidney. Conclusion: The present case raises the possibility that proliferative GN with crescents may be a rare mode of presentation of MM. Copyright (C) 2011 S. Karger AG, Basel
引用
收藏
页码：69 / 72
页数：4
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