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

页码：69 / 72

页数：4

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