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A case of fibrillary glomerulonephritis with unusual IgM deposits and hypocomplementemia
- Title
- A case of fibrillary glomerulonephritis with unusual IgM deposits and hypocomplementemia
- Authors
- Shim Y.H.; Lee S.J.; Sung S.H.
- Ewha Authors
- 이승주; 성순희
- SCOPUS Author ID
- 이승주; 성순희
- Issue Date
- 2008
- Journal Title
- Pediatric Nephrology
- ISSN
- 0931-041X
- Citation
- Pediatric Nephrology vol. 23, no. 7, pp. 1163 - 1166
- Indexed
- SCI; SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Fibrillary glomerulonephritis (FGN) is rare immune-mediated GN with predominant immunoglobulin (Ig) G deposits, normal serum complement levels, and poor prognosis. The incidence of FGN is less than 1% in the adult population, and only six pediatric cases have been reported in the English literature. A 12-year-old girl presented with acute nephrotic-nephritic syndrome mimicking atypical clinical features of acute poststreptococcal GN (APSGN). Clinical features had completely resolved in 2 weeks, but the serum complement levels remained low. Renal biopsy was done 6 months later, and she was diagnosed as having FGN with unusual IgM deposits. Despite persistently low serum complement levels during the subsequent 3 years, clinical relapse did not develop. This case was an atypical form of FGN characterized by unusual IgM deposits, persistent hypocomplementemia, and good prognosis, which suggests that childhood FGN is not necessarily a disease with poor prognosis. © IPNA 2008.
- DOI
- 10.1007/s00467-008-0765-6
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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