A Case of Immunotactoid Glomerulopathy in a Patient with Multiple Myeloma

被引:0
作者
Rekhtina, Irina G. [1 ]
Mendeleeva, Larisa P. [2 ]
Povivaitite, Patricia E. [3 ]
机构
[1] Minist Healthcare Russian Federat, Natl Res Ctr Hematol, Dept Nephrol, Novi Zikovski Pr 4, Moscow 125167, Russia
[2] Minist Healthcare Russian Federat, Natl Res Ctr Hematol, Dept High Dose Chemotherapy Paraproteinem Hemobla, Moscow, Russia
[3] Reg Bur Pathol, Dept Pathol, Rostov Na Donu, Russia
关键词
Glomerular infiltration; Glomerulonephritis; Microtubules;
D O I
10.7860/JCDR/2018/24366.11073
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cases of Immunotactoid Glomerulopathy (ITG) in patients with Multiple Myeloma (MM) are extremely rare. Consequently, data on efficacy and therapy results are limited. We report on a rare case of long-term follow up patient with MM and ITG. After chemotherapy the patient achieved complete remission with complete recovery of renal function. A repeat renal biopsy revealed complete resorption of the deposits. After four years, ITG was diagnosed again in another kidney biopsy during a relapse of MM. There was excessive glomerular infiltration by lymphoid cells and obstruction of capillary lumen was identified. Bundles of microtubules, similar to the deposits in kidneys, were revealed in some lymphoid cells.
引用
收藏
页码:OD12 / OD13
页数:2
相关论文
共 7 条
[1]   Fibrillary glomerulonephritis and immunotactoid (microtubular) glomerulopathy are associated with distinct immunologic features [J].
Bridoux, F ;
Hugue, V ;
Coldefy, O ;
Goujon, JM ;
Bauwens, M ;
Sechet, A ;
Preud'Homme, JL ;
Touchard, G .
KIDNEY INTERNATIONAL, 2002, 62 (05) :1764-1775
[2]   Chronic lymphocytic leukemia associated with immunotactoid glomerulopathy: a case report of successful treatment with high-dose methylprednisolone in combination with rituximab followed by alemtuzumab [J].
Castro, Januario E. ;
Diaz-Perez, Julio A. ;
Barajas-Gamboa, Juan S. ;
Horton, John M. ;
Weidner, Noel ;
Kipps, Thomas J. .
LEUKEMIA & LYMPHOMA, 2012, 53 (09) :1835-1838
[3]   International staging system for multiple myeloma [J].
Greipp, PR ;
San Miguel, J ;
Durie, BGM ;
Crowley, JJ ;
Barlogie, B ;
Bladé, J ;
Boccadoro, M ;
Child, JA ;
Harousseau, JL ;
Kyle, RA ;
Lahuerta, JJ ;
Ludwig, H ;
Morgan, G ;
Powles, R ;
Shimizu, K ;
Shustik, C ;
Sonneveld, P ;
Tosi, P ;
Turesson, I ;
Westin, J .
JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (15) :3412-3420
[4]   Immunotactoid glomerulopathy: clinicopathologic and proteomic study [J].
Nasr, Samih H. ;
Fidler, Mary E. ;
Cornell, Lynn D. ;
Leung, Nelson ;
Cosio, Fernando G. ;
Sheikh, Salwa S. ;
Amir, Abdulrazack A. ;
Vrana, Julie A. ;
Theis, Jason D. ;
Dogan, Ahmet ;
Sethi, Sanjeev .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2012, 27 (11) :4137-4146
[5]   Clinicopathologic Correlations in Multiple Myeloma: A Case Series of 190 Patients With Kidney Biopsies [J].
Nasr, Samih H. ;
Valeri, Anthony M. ;
Sethi, Sanjeev ;
Fidler, Mary E. ;
Cornell, Lynn D. ;
Gertz, Morie A. ;
Lacy, Martha ;
Dispenzieri, Angela ;
Rajkumar, S. Vincent ;
Kyle, Robert A. ;
Leung, Nelson .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2012, 59 (06) :786-794
[6]   Myeloma cast nephropathy, direct renal infiltration by myeloma, and renal extramedullary hematopoiesis [J].
Nasr, Sh ;
Alobeid, Bb ;
Otrakji, Ja ;
Markowitz, Gs .
KIDNEY INTERNATIONAL, 2008, 73 (04) :517-518
[7]   Prognostic significance of serum immunoglobulin paraprotein in patients with chronic lymphocytic leukemia [J].
Xu, Wei ;
Wang, Yin-Hua ;
Fan, Lei ;
Fang, Cheng ;
Zhu, Dan-Xia ;
Wang, Dong-Mei ;
Qiao, Chun ;
Wu, Yu-Jie ;
Li, Jian-Yong .
LEUKEMIA RESEARCH, 2011, 35 (08) :1060-1065