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 CASE REPORT
Year : 2015  |  Volume : 25  |  Issue : 1  |  Page : 50-53

Monoclonal gammopathy associated membranous glomerulonephritis: A rare entity


1 Department of Histopathology, PGIMER, Chandigarh, India
2 Department of Nephrology, PGIMER, Chandigarh, India

Correspondence Address:
R Nada
Department of Histopathology, PGIMER, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.135353

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A 40-year-old male presented with nephrotic syndrome. Light microscopic analysis of the renal biopsy showed thickening of the glomerular capillary wall. Immunofluorescence examination revealed granular deposition of monoclonal immunoglobulin (Ig) G3-kappa and complement C3 along the glomerular basement membrane. Electron microscopy showed subepithelial electron dense deposits, thus confirming membranous glomerulonephritis (MGN) with monoclonal gammopathy. MGN with monoclonal gammopathy is an extremely rare but distinctive entity. This patient was treated with a combination of bortezomib, thalidomide and dexamethasone and showed partial remission of his nephrotic state and dysproteinemia.






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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07