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10.2169/internalmedicine.56.7778

http://scihub22266oqcxt.onion/10.2169/internalmedicine.56.7778
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28381748!5457925!28381748
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suck abstract from ncbi

pmid28381748      Intern+Med 2017 ; 56 (7): 811-817
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  • Post-infectious Proliferative Glomerulonephritis with Monoclonal Immunoglobulin G Deposits Associated with Complement Factor H Mutation #MMPMID28381748
  • Takehara E; Mandai S; Shikuma S; Akita W; Chiga M; Mori T; Oda T; Kuwahara M; Uchida S
  • Intern Med 2017[]; 56 (7): 811-817 PMID28381748show ga
  • A 55-year-old man developed rapidly progressive glomerulonephritis and nephrotic syndrome. A kidney biopsy specimen showed diffuse proliferative and crescentic glomerulonephritis with monoclonal IgG1kappa, humps, and nephritis-associated plasmin receptor, indicating infection-associated proliferative glomerulonephritis with monoclonal immunoglobulin G deposits (PGNMID). Despite dialysis-dependent renal failure, symptomatic therapy resulted in spontaneous recovery of the renal function, mimicking post-infectious glomerulonephritis (PIGN). A heterozygous complement factor H mutation was detected by comprehensive genetic testing of alternative pathway regulatory genes, which might lead to persistent infection-triggered alternative pathway activation and account for severe glomerulonephritis. Post-infectious PGNMID and PIGN might share common clinical presentations and pathogenesis related to the complement pathway.
  • |Complement Factor H/genetics[MESH]
  • |Glomerulonephritis, Membranoproliferative/drug therapy/*physiopathology[MESH]
  • |Humans[MESH]
  • |Immunoglobulin G/*metabolism[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Mutation[MESH]
  • |Receptors, Peptide/metabolism[MESH]
  • |Renal Dialysis[MESH]


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