Light chain deposition disease and proximal tubulopathy in two successive kidney allografts

被引:7
作者
Drieux, Fanny [1 ,2 ]
Loron, Marie-Charlotte [1 ,2 ]
Francois, Arnaud [2 ]
Bertrand, Dominique [1 ]
Etienne, Isabelle [1 ]
Bender, Sebastien [3 ,4 ]
Godin, Michel [1 ,5 ]
Guerrot, Dominique [1 ,5 ]
机构
[1] Rouen Univ Hosp, Nephrol Dept, 1 Rue Germont, F-76031 Rouen, France
[2] Rouen Univ Hosp, Pathol Dept, Rouen, France
[3] Limoges Med Univ, CNRS UMR 7276, Rouen, France
[4] Limoges Med Univ, Ctr Reference Amyloses Primit & Autres Malad Depo, Rouen, France
[5] Rouen Med Univ, INSERM U1096, Rouen, France
关键词
light chain deposition disease; light chain proximal tubulopathy; recurrence; kidney allograft; myeloma; FANCONI-SYNDROME; MYELOMA; TRANSPLANTATION; NEPHROPATHY; SPECTRUM; INJURY;
D O I
10.5414/CN108319
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
Light chain proximal tubu-lo-pathy (LCPT) is a rare kidney disease associated with plasma cell dyscrasias, characterized by light chain deposits in the proximal tubular cells, with or without crystal formation. We describe an exceptional case of LCPT without crystal formation in a kidney allograft, in a patient who underwent two renal transplants for a light chain deposition disease (LCDD) complicating smoldering myeloma. This is the first description of this association in successive kidney allografts. We concisely describe pathology of LCDD and LCPT and discuss potential pathophysiological mechanisms relating these two conditions.
引用
收藏
页码:351 / 356
页数:6
相关论文
共 15 条
[1]  
Batuman V, 2007, CONTRIB NEPHROL, V153, P87
[2]   A monoclonal Vκl light chain responsible for incomplete proximal tubulopathy [J].
Decourt, C ;
Bridoux, F ;
Touchard, G ;
Cogné, M .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2003, 41 (02) :497-504
[3]   Mutational analysis in murine models for myeloma-associated Fanconi's syndrome or cast myeloma nephropathy [J].
Decourt, C ;
Rocca, A ;
Bridoux, F ;
Vrtovsnik, F ;
Preud'homme, JL ;
Cogné, M ;
Touchard, G .
BLOOD, 1999, 94 (10) :3559-3566
[4]   OVERREPRESENTATION OF THE V-KAPPA(IV) SUBGROUP IN LIGHT-CHAIN DEPOSITION DISEASE [J].
DENOROY, L ;
DERET, S ;
AUCOUTURIER, P .
IMMUNOLOGY LETTERS, 1994, 42 (1-2) :63-66
[5]   Durable hematological response and improvement of nephrotic syndrome on thalidomide therapy in a patient with refractory light chain deposition disease [J].
Fujita, Haruyuki ;
Hishizawa, Masakatsu ;
Sakamoto, Soichiro ;
Kondo, Tadakazu ;
Kadowaki, Norimistu ;
Ishikawa, Takayuki ;
Itoh, Junji ;
Fukatsu, Atsushi ;
Uchiyama, Takashi ;
Takaori-Kondo, Akifumi .
INTERNATIONAL JOURNAL OF HEMATOLOGY, 2011, 93 (05) :673-676
[6]  
IVANYI B, 1990, ARCH PATHOL LAB MED, V114, P986
[7]  
Kapur U, 2007, ARCH PATHOL LAB MED, V131, P1368
[8]   The morphologic spectrum and clinical significance of light chain proximal tubulopathy with and without crystal formation [J].
Larsen, Christopher P. ;
Bell, Jane M. ;
Harris, Alexis A. ;
Messias, Nidia C. ;
Wang, Yihan H. ;
Walker, Patrick D. .
MODERN PATHOLOGY, 2011, 24 (11) :1462-1469
[9]   Long-term outcome of renal transplantation in light-chain deposition disease [J].
Leung, N ;
Lager, DJ ;
Gertz, MA ;
Wilson, K ;
Kanakiriya, S ;
Fervenza, FC .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2004, 43 (01) :147-153
[10]   Long-term outcome of autologous stem cell transplantation in light chain deposition disease [J].
Lorenz, Elizabeth C. ;
Gertz, Morie A. ;
Fervenza, Fernando C. ;
Dispenzieri, Angela ;
Lacy, Martha Q. ;
Hayman, Suzanne R. ;
Gastineau, Dennis A. ;
Leung, Nelson .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2008, 23 (06) :2052-2057