Intracapillary Monoclonal IgM Deposition Concomitant With Cold Agglutinin Disease

Monoclonal gammopathy of renal significance (MGRS) comprises a spectrum of kidney manifestations distinguished by its clinical and pathological presentations. This article reports a case of a female on her 60s who was referred to Nephrology for evaluation of worsening kidney function, hematuria, and...

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Main Authors: Silvia M. Titan, Sandra Herrmann, Nelson Leung, Pingchuan Zhang, Stephen Ansell
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Kidney Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590059524001754
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author Silvia M. Titan
Sandra Herrmann
Nelson Leung
Pingchuan Zhang
Stephen Ansell
author_facet Silvia M. Titan
Sandra Herrmann
Nelson Leung
Pingchuan Zhang
Stephen Ansell
author_sort Silvia M. Titan
collection DOAJ
description Monoclonal gammopathy of renal significance (MGRS) comprises a spectrum of kidney manifestations distinguished by its clinical and pathological presentations. This article reports a case of a female on her 60s who was referred to Nephrology for evaluation of worsening kidney function, hematuria, and proteinuria. Her medical history was notable for marginal zone lymphoma along with immunoglobulin M (IgM)-kappa cold agglutinin disease diagnosed 3 years before the current presentation, which had been treated with rituximab. A kidney biopsy was performed and revealed IgM-kappa monoclonal protein-associated nephropathy with predominantly intracapillary monoclonal IgM deposition injury pattern, a rare form of MGRS, reported for the first time in association with cold agglutinin disease.
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institution Kabale University
issn 2590-0595
language English
publishDate 2025-03-01
publisher Elsevier
record_format Article
series Kidney Medicine
spelling doaj-art-d87bd314279041989c96eec9ee93f01f2025-01-30T05:14:50ZengElsevierKidney Medicine2590-05952025-03-0173100964Intracapillary Monoclonal IgM Deposition Concomitant With Cold Agglutinin DiseaseSilvia M. Titan0Sandra Herrmann1Nelson Leung2Pingchuan Zhang3Stephen Ansell4Nephrology and Hypertension Division, Department of Internal Medicine, Mayo Clinic, Rochester, MN; Address for Correspondence: Silvia M. Titan, MD, PhD, 200 First Street SW, Rochester, MN 55902.Nephrology and Hypertension Division, Department of Internal Medicine, Mayo Clinic, Rochester, MNNephrology and Hypertension Division, Department of Internal Medicine, Mayo Clinic, Rochester, MNLaboratory Medicine and Pathology Department, Mayo Clinic, Rochester, MNHematology Division, Department of Internal Medicine, Mayo Clinic, Rochester, MNMonoclonal gammopathy of renal significance (MGRS) comprises a spectrum of kidney manifestations distinguished by its clinical and pathological presentations. This article reports a case of a female on her 60s who was referred to Nephrology for evaluation of worsening kidney function, hematuria, and proteinuria. Her medical history was notable for marginal zone lymphoma along with immunoglobulin M (IgM)-kappa cold agglutinin disease diagnosed 3 years before the current presentation, which had been treated with rituximab. A kidney biopsy was performed and revealed IgM-kappa monoclonal protein-associated nephropathy with predominantly intracapillary monoclonal IgM deposition injury pattern, a rare form of MGRS, reported for the first time in association with cold agglutinin disease.http://www.sciencedirect.com/science/article/pii/S2590059524001754Cold agglutinin diseasegammopathyglomerulonephritismarginal cell lymphomamonoclonalrenal failure
spellingShingle Silvia M. Titan
Sandra Herrmann
Nelson Leung
Pingchuan Zhang
Stephen Ansell
Intracapillary Monoclonal IgM Deposition Concomitant With Cold Agglutinin Disease
Kidney Medicine
Cold agglutinin disease
gammopathy
glomerulonephritis
marginal cell lymphoma
monoclonal
renal failure
title Intracapillary Monoclonal IgM Deposition Concomitant With Cold Agglutinin Disease
title_full Intracapillary Monoclonal IgM Deposition Concomitant With Cold Agglutinin Disease
title_fullStr Intracapillary Monoclonal IgM Deposition Concomitant With Cold Agglutinin Disease
title_full_unstemmed Intracapillary Monoclonal IgM Deposition Concomitant With Cold Agglutinin Disease
title_short Intracapillary Monoclonal IgM Deposition Concomitant With Cold Agglutinin Disease
title_sort intracapillary monoclonal igm deposition concomitant with cold agglutinin disease
topic Cold agglutinin disease
gammopathy
glomerulonephritis
marginal cell lymphoma
monoclonal
renal failure
url http://www.sciencedirect.com/science/article/pii/S2590059524001754
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