A patient with thrombotic microangiopathy accompanied by glomerular subendothelial electron dense deposits.

Abstract:

:A 50-year-old woman presented with thrombocytopenia, microangiopathic hemolytic anemia, and nephrotic syndrome. Although a high level of circulating immune complexes, mild hypocomplementemia, and the antinuclear antibody also were present, the criteria for collagen disease were not fulfilled. Renal biopsy demonstrated a typical thrombotic microangiopathy (TMA) involving glomeruli. There also were electron-dense deposits located just beneath the original glomerular basement membrane in the dilated subendothelial space, thought to be immune complexes following positive IgG, C1q and C3 staining on an immunofluorescent study. Corticosteroid therapy rapidly ameliorated her hematologic abnormalities and proteinuria and normalized the immunologic data. These findings strongly suggest that the TMA in this patient was induced by immune complex-associated mechanisms.

journal_name

Am J Nephrol

authors

Kimura M,Fujigaki Y,Ohtake T,Furuya R,Hishida A,Kaneko E

doi

10.1159/000013326

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

155-9

issue

2

eissn

0250-8095

issn

1421-9670

pii

13326

journal_volume

18

pub_type

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