Splenic Marginal Zone Lymphoma and Concurrent Membranoproliferative Glomerulonephritis With IgMKappa Deposits in a HCV-Seropositive Patient

AuthorEleni Cheliotien
AuthorEvdokia Efthimiouen
AuthorMaria Sotirakien
AuthorAlexia Papalexandrouen
AuthorMaria Tsilivigkouen
Issued Date2014-07-01en
AbstractWe report a case of membranoproliferative glomerulonephritis (MPGN) with IgMκ light chain deposits in a patient with chronic hepatitis C infection and simultaneous onset of monoclonal IgMκ gammopathy with concurrent small B-cell lymphoproliferative disease. The patient presented with hepatosplenomegaly and a uremic state that necessitated dialysis without any clinical signs of systemic disease apart from the chronic infection with hepatitis C virus. The diagnostic approach led to a renal biopsy that revealed MPGN with dominant IgMκ deposits and interstitium infiltration by the lymphoid cells. The bone marrow biopsy findings were consistent with splenic marginal zone lymphoma, a rare lymphoproliferative disorder with a rare association with MPGN. Our case indicates high diagnostic value of renal biopsy for rare lymphoplasmacytic neoplasms with renal dysfunction as their predominant clinical manifestation.en
DOIhttps://doi.org/10.5812/numonthly.18391en
KeywordHepatitis Cen
KeywordMembranoproliferative Glomerulonephritisen
KeywordLymphomaen
KeywordB-Cellen
KeywordMarginal Zoneen
KeywordKidneyen
KeywordBiopsyen
PublisherBrieflandsen
TitleSplenic Marginal Zone Lymphoma and Concurrent Membranoproliferative Glomerulonephritis With IgMKappa Deposits in a HCV-Seropositive Patienten
TypeCase Reporten

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