Coexisting glomerular IgA deposition and IgG-kappa multiple myeloma

Ren Fail. 2014 Sep;36(8):1345-7. doi: 10.3109/0886022X.2014.930656. Epub 2014 Jun 24.

Abstract

Multiple myeloma (MM) is a common malignancy that often results in many kinds of kidney injuries for the abnormal monoclonal immunoglobulin. Here, we present an IgG-kappa type MM case accompanied by renal IgA deposition combined with IgG-kappa. The patient was treated with prednisone plus mycophenolate mofetil, and got a satisfactory remission. Although it cannot be determined whether the IgA deposition was secondary to MM, this was the first report of coexisting mesangial proliferative nephritis with IgA deposition and IgG-kappa type MM.

Keywords: Immunoglobulin A; mesangial proliferative nephritis; multiple myeloma; proteinuria.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Immunoglobulin A / immunology*
  • Immunoglobulin A / metabolism*
  • Immunoglobulin G / immunology*
  • Kidney Glomerulus / metabolism*
  • Male
  • Multiple Myeloma / classification
  • Multiple Myeloma / complications*
  • Multiple Myeloma / immunology
  • Multiple Myeloma / metabolism*
  • Nephritis / classification
  • Nephritis / complications*
  • Nephritis / immunology
  • Nephritis / metabolism*

Substances

  • Immunoglobulin A
  • Immunoglobulin G