Schistosomal cryoglobulinemia associated with vasculitis and glomerulonephritis Case report

Schistosomiasis is an endemic, widespread disease in the subtropics and is a major cause of morbidity in developing countries. This is a report of a patient with a high titer of cryoglobulins composed of monoclonal IgM and anti-schistosoma IgG adult worm antibodies. This was associated with vasculit...

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Main Author: Mohamed M NasrAllah
Format: Article
Language:English
Published: PAGEPress Publications 2014-08-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
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Online Access:https://mjhid.org/index.php/mjhid/article/view/1931
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author Mohamed M NasrAllah
author_facet Mohamed M NasrAllah
author_sort Mohamed M NasrAllah
collection DOAJ
description Schistosomiasis is an endemic, widespread disease in the subtropics and is a major cause of morbidity in developing countries. This is a report of a patient with a high titer of cryoglobulins composed of monoclonal IgM and anti-schistosoma IgG adult worm antibodies. This was associated with vasculitis and membranoproliferative glomerulonephritis. Improvement was noted after treatment with steroids and cyclophosphamide. This case presents 3 novel findings: first, it is the first documentation, that we could trace, of a clear link between schistosomiasis and type II “essential” mixed cryoglobulinemia in humans where anti-schostosomal antibodies form the IgG component of the cryoglobulins. Second,  it reports vasculitis associated with the shcistosomal cryoglobulins and finally it is a uniquel report of shcistosomal glomerulopathy responsive to immune suppression.
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spelling doaj-art-1f85029ffa7e46d19efa7894e8ff5baf2025-08-20T02:57:56ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062014-08-011Schistosomal cryoglobulinemia associated with vasculitis and glomerulonephritis Case reportMohamed M NasrAllah0Department of Nephrology, Kasr AlAiny School of Medicine, Cairo UniversitySchistosomiasis is an endemic, widespread disease in the subtropics and is a major cause of morbidity in developing countries. This is a report of a patient with a high titer of cryoglobulins composed of monoclonal IgM and anti-schistosoma IgG adult worm antibodies. This was associated with vasculitis and membranoproliferative glomerulonephritis. Improvement was noted after treatment with steroids and cyclophosphamide. This case presents 3 novel findings: first, it is the first documentation, that we could trace, of a clear link between schistosomiasis and type II “essential” mixed cryoglobulinemia in humans where anti-schostosomal antibodies form the IgG component of the cryoglobulins. Second,  it reports vasculitis associated with the shcistosomal cryoglobulins and finally it is a uniquel report of shcistosomal glomerulopathy responsive to immune suppression.https://mjhid.org/index.php/mjhid/article/view/1931CryoglobulinemiaScistosoma mansoniparasitepost infectious glomerulonephritis
spellingShingle Mohamed M NasrAllah
Schistosomal cryoglobulinemia associated with vasculitis and glomerulonephritis Case report
Mediterranean Journal of Hematology and Infectious Diseases
Cryoglobulinemia
Scistosoma mansoni
parasite
post infectious glomerulonephritis
title Schistosomal cryoglobulinemia associated with vasculitis and glomerulonephritis Case report
title_full Schistosomal cryoglobulinemia associated with vasculitis and glomerulonephritis Case report
title_fullStr Schistosomal cryoglobulinemia associated with vasculitis and glomerulonephritis Case report
title_full_unstemmed Schistosomal cryoglobulinemia associated with vasculitis and glomerulonephritis Case report
title_short Schistosomal cryoglobulinemia associated with vasculitis and glomerulonephritis Case report
title_sort schistosomal cryoglobulinemia associated with vasculitis and glomerulonephritis case report
topic Cryoglobulinemia
Scistosoma mansoni
parasite
post infectious glomerulonephritis
url https://mjhid.org/index.php/mjhid/article/view/1931
work_keys_str_mv AT mohamedmnasrallah schistosomalcryoglobulinemiaassociatedwithvasculitisandglomerulonephritiscasereport