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10.1097/MD.0000000000007144

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C5478328!5478328 !28614243
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suck abstract from ncbi


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pmid28614243
      Medicine+(Baltimore) 2017 ; 96 (24 ): e7144
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  • Different types of glomerulonephritis associated with the dysregulation of the complement alternative pathway in 2 brothers: A case report #MMPMID28614243
  • Chen P ; Zhu L ; Yu F ; Han SS ; Meng SJ ; Guo WY ; Zhang H ; Song Y
  • Medicine (Baltimore) 2017[Jun]; 96 (24 ): e7144 PMID28614243 show ga
  • RATIONALE: C3 glomerulonephritis (C3GN) and complement-mediated hemolytic uremic syndrome (HUS) both result from the abnormal regulation of the complement system. A significant number of patients with C3GN or complement-mediated HUS have mutations of more than 1 complement protein. This discovery has had a major impact on identifying the underlying cause of familial C3GN or complement-mediated HUS. PATIENT CONCERNS: We report the cases of 2 brothers (herein referred to as patient II-1 and patient II-9), both with complement disorders that differed in their clinical and genetic features. DIAGNOSES: Patient II-1 clinically presented with nephrotic syndrome and acute kidney injury and pathologically presented with C3GN combined with thrombotic microangiopathy (TMA) and subacute tubulointerstitial nephritis. Meanwhile, patient II-9 clinically presented with HUS and pathologically presented with TMA combined with acute severe tubular injury. INTERVENTIONS: Screenings for genetic mutations contributed to complement system dysregulation were performed on patient II-1. OUTCOMES: The genome sequencing identified that patient II-1 had a heterozygous mutation in the C3 gene (c.C1774T/p.R592W). Nine other relatives of the brothers were checked for this C3 mutation and only the daughter of patient II-1 (herein referred to as patient III-2) carried it, but so far, she does not have any clinical manifestations of kidney disease. LESSIONS: Family members with a dysregulation of the complement alternative pathway may differ in its clinical and genetic features.
  • |*Complement Pathway, Alternative [MESH]
  • |Adult [MESH]
  • |Complement System Proteins/*genetics/*metabolism [MESH]
  • |Fatal Outcome [MESH]
  • |Glomerulonephritis/*genetics/*metabolism/pathology/therapy [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Mutation [MESH]


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