Monoclonal immunoglobulin deposition disease in a renal allograft: probable recurrent disease in a patient without myeloma

Am J Kidney Dis. 1989 May;13(5):418-23. doi: 10.1016/s0272-6386(89)80026-5.

Abstract

A case in which monoclonal IgG-kappa deposition in the glomeruli of a renal allograft apparently resulted in graft failure is described. Review of biopsy material obtained from the patient's native kidney biopsy indicates a high probability that this glomerulopathy represents recurrent disease in the allograft. The reported transplantation experience with this entity (monoclonal immunoglobulin deposition disease; light-chain nephropathy) is limited; this case indicates the potential for disease recurrence even in the absence of a systemic lymphoplasmacytic disorder.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Female
  • Fluorescent Antibody Technique
  • Glomerulonephritis / immunology*
  • Glomerulonephritis / pathology
  • Graft Rejection*
  • Humans
  • Immunoglobulin Light Chains*
  • Kidney / pathology
  • Kidney Transplantation*
  • Microscopy, Electron
  • Multiple Myeloma*
  • Recurrence

Substances

  • Immunoglobulin Light Chains