Thrombotic microangiopathy with intraglomerular IgM pseudothrombi in Waldenström macroglobulinemia and IgM monoclonal gammopathy.

Abstract:

:IgM secreting myelomas or lymphomas, including Waldenström macroglobulinemia, are associated with a varied spectrum of renal pathology, including intracapillary hyaline deposits, cryoglobulin, membranoproliferative glomerulonephritis, amyloid, monoclonal immunoglobulin deposition disease, cast nephropathy, and lymphoma infiltration. We report our single institution experience, and describe five cases with distinctive glomerular pathology: intracapillary IgM pseudothrombi and thrombotic microangiopathic change, with glomerular intracellular crystals in two biopsies. Two patients were hypocomplementemic at presentation. This series adds to the recent literature on paraprotein associated thrombotic microangiopathy.

journal_name

J Nephrol

journal_title

Journal of nephrology

authors

Tan SYS,Sibley RK,Belani S,Iwasaki S,Yankulin L,Jonelis T,Higgins JPT,Kambham N,Troxell ML

doi

10.1007/s40620-018-0544-9

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

907-918

issue

6

eissn

1121-8428

issn

1724-6059

pii

10.1007/s40620-018-0544-9

journal_volume

31

pub_type

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