A Case Report of Premalignant Plasma Cell Dyscrasia-Induced Renal Failure in a 31-Year-Old Female

Monoclonal gammopathy of renal significance (MGRS) is a rare disorder in which monoclonal immunoglobulin secreted by nonmalignant B cell or plasma cell clone causes kidney damage. Although MGRS is a premalignant condition, it can cause severe kidney disease and end-stage renal disease (ESRD) at any...

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Main Authors: Ayrton Bangolo, Mahabuba Akhter, Amer Jarri, Manpreet Kaur, Ali Atoot, Parul Jandir, Mahmood Ibrahim, Lochana Manandhar, Adam Atoot
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2022/2497380
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author Ayrton Bangolo
Mahabuba Akhter
Amer Jarri
Manpreet Kaur
Ali Atoot
Parul Jandir
Mahmood Ibrahim
Lochana Manandhar
Adam Atoot
author_facet Ayrton Bangolo
Mahabuba Akhter
Amer Jarri
Manpreet Kaur
Ali Atoot
Parul Jandir
Mahmood Ibrahim
Lochana Manandhar
Adam Atoot
author_sort Ayrton Bangolo
collection DOAJ
description Monoclonal gammopathy of renal significance (MGRS) is a rare disorder in which monoclonal immunoglobulin secreted by nonmalignant B cell or plasma cell clone causes kidney damage. Although MGRS is a premalignant condition, it can cause severe kidney disease and end-stage renal disease (ESRD) at any age. Herein, we present a 31-year-old female with past medical history of lupus nephritis who presented with signs of volume overload and worsening renal function despite adequate immunosuppressive therapy. Renal biopsy revealed heavy and light chain deposition consistent with MGRS. This case report demonstrates the importance of including MGRS in the differential diagnosis of worsening renal function despite adequate treatment, raising awareness of this premalignant yet morbid condition.
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issn 2090-6579
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publishDate 2022-01-01
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spelling doaj-art-166167e7040f420db0c08cd06caa34302025-02-03T05:50:02ZengWileyCase Reports in Hematology2090-65792022-01-01202210.1155/2022/2497380A Case Report of Premalignant Plasma Cell Dyscrasia-Induced Renal Failure in a 31-Year-Old FemaleAyrton Bangolo0Mahabuba Akhter1Amer Jarri2Manpreet Kaur3Ali Atoot4Parul Jandir5Mahmood Ibrahim6Lochana Manandhar7Adam Atoot8HackensackHackensackHackensackHackensackHackensack University Medical CenterHackensackHackensackHackensack Meridian Health Palisades Medical CenterHackensackMonoclonal gammopathy of renal significance (MGRS) is a rare disorder in which monoclonal immunoglobulin secreted by nonmalignant B cell or plasma cell clone causes kidney damage. Although MGRS is a premalignant condition, it can cause severe kidney disease and end-stage renal disease (ESRD) at any age. Herein, we present a 31-year-old female with past medical history of lupus nephritis who presented with signs of volume overload and worsening renal function despite adequate immunosuppressive therapy. Renal biopsy revealed heavy and light chain deposition consistent with MGRS. This case report demonstrates the importance of including MGRS in the differential diagnosis of worsening renal function despite adequate treatment, raising awareness of this premalignant yet morbid condition.http://dx.doi.org/10.1155/2022/2497380
spellingShingle Ayrton Bangolo
Mahabuba Akhter
Amer Jarri
Manpreet Kaur
Ali Atoot
Parul Jandir
Mahmood Ibrahim
Lochana Manandhar
Adam Atoot
A Case Report of Premalignant Plasma Cell Dyscrasia-Induced Renal Failure in a 31-Year-Old Female
Case Reports in Hematology
title A Case Report of Premalignant Plasma Cell Dyscrasia-Induced Renal Failure in a 31-Year-Old Female
title_full A Case Report of Premalignant Plasma Cell Dyscrasia-Induced Renal Failure in a 31-Year-Old Female
title_fullStr A Case Report of Premalignant Plasma Cell Dyscrasia-Induced Renal Failure in a 31-Year-Old Female
title_full_unstemmed A Case Report of Premalignant Plasma Cell Dyscrasia-Induced Renal Failure in a 31-Year-Old Female
title_short A Case Report of Premalignant Plasma Cell Dyscrasia-Induced Renal Failure in a 31-Year-Old Female
title_sort case report of premalignant plasma cell dyscrasia induced renal failure in a 31 year old female
url http://dx.doi.org/10.1155/2022/2497380
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