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suck abstract from ncbi


10.1007/s40620-023-01583-2

http://scihub22266oqcxt.onion/10.1007/s40620-023-01583-2
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36913081!10638190!36913081
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suck abstract from ncbi

pmid36913081      J+Nephrol 2023 ; 36 (8): 2375-2380
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  • IgA nephropathy to proliferative glomerulonephritis with monoclonal IgAkappa deposits: a pattern switch #MMPMID36913081
  • Li JP; Du YT; Guo C; Rao XR; Li S
  • J Nephrol 2023[Nov]; 36 (8): 2375-2380 PMID36913081show ga
  • We report the case of a 31-year-old male who presented with repeated episodes of nephritic-nephrotic syndrome in concomitance with infection. IgA was diagnosed and was initially responsive to treatment with immunosuppressors but further disease flare did not respond to treatment. Based on three consecutive renal biopsies over 8 years, a pattern switch from endocapillary proliferative IgA nephropathy to membranous proliferative glomerulonephritis with monoclonal IgAkappa deposits was observed. Bortezomib-dexamethasone combination therapy finally led to a favorable renal response. This case provides new insights into the pathophysiological mechanisms of proliferative glomerulonephritis with monoclonal immunoglobin deposits (PGNMID), highlighting the importance of repeat renal biopsies and routine evaluation of monoclonal immunoglobin deposits in proliferative glomerulonephritis with refractory nephrotic syndrome.
  • |*Glomerulonephritis, IGA/complications/diagnosis/drug therapy[MESH]
  • |*Glomerulonephritis, Membranoproliferative/diagnosis/drug therapy[MESH]
  • |*Glomerulonephritis/pathology[MESH]
  • |*Nephrotic Syndrome[MESH]
  • |Adult[MESH]
  • |Humans[MESH]
  • |Immunoglobulin G[MESH]


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