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Immune complex glomerulopathy in a child with food hypersensitivity.

Abstract：

:This report describes the occurrence of immune complex glomerulonephritis in a patient with eosinophilic gastroenteritis and food hypersensitivity. A coincident allergen injection may have been a contributing factor in the sudden development of the nephrotic syndrome. Markedly elevated levels of circulating immune complexes (greater than 6400 mg/dl) were found containing kappa-casein and bovine serum albumin (BSA), the latter predominating. Markedly elevated serum BSA hemagglutinating titers were also present (1:40,960). Cross-reacting precipitating antibodies to BSA, beef, and pork were demonstrated, but not to flounder or ovalbumin. Renal biopsy revealed immune complex glomerulonephritis with BSA, immunoglobulins M and G and complement deposited focally in the glomerular basement membrane. With strict dietary limitation of identified causative antigens and prednisone therapy, CIC levels decreased to 16,000 micrograms/dl and serum BSA antibody hemagglutinating titer fell 32-fold over a period of 15 months. There was prompt symptomatic relief and amelioration of signs of nephritis. The patient was able to consume a diet normal in protein and caloric content, and statural catch-up growth occurred. Recognition of food antigens to which the patient was hypersensitive provided a rationale for the relief of the gastrointestinal disturbance, growth stunting, and renal disease.

journal_name

Kidney Int

journal_title

Kidney international

authors

McCrory WW,Becker CG,Cunningham-Rundles C,Klein RF,Mouradian J,Reisman L

doi

10.1038/ki.1986.226

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

592-8

issue

4

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)33809-6

journal_volume

30

pub_type

杂志文章

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