Glomerular deposition disease, regarding a case of fibrillary glomerulonephritis
Keywords:
glomerulonephritis, nephrotic syndrome, immunoglobulins, renal insufficiency, case reports.
Abstract
In routine diagnosis for renal biopsy, glomerular diseases are encountered that, viewed by electron microscopy, reveal deposits with a fibrillary structure in the extracellular matrix of the glomeruli. Amyloidosis is the most common glomerulopathy that shows deposits with an ultrastructural fibrillary structure. However, other glomerulopathies have deposits with an ultrastructural fibrillary structure and which are negative for Congo-red stain, but positive for immunoglobulins.Fibrillary glomerulonephritis is a well-characterized disease, and clearly identified in approximately 0.5% to 1% of biopsies of native kidneys. These cases usually manifest themselves as severe renal insufficiencies with nephrotic-range proteinuria. No treatment regimes have been clearly established and the prognosis is poor. Herein, the clinical and histological characteristics are described for the first case of idiopathic fibrillary glomerulonephritis reported in Colombia.
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References
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7. Iskandar SS, Falk RJ, Jennette JC. Clinical and pathologic features of fibrillary glomerulonephritis. Kidney Int. 1992;42:1401-7.
8. Rosenstock JL, Markowitz GS, Valeri AM, Sacchi G, Appel GB, D’Agati VD. Fibrillary and immunotactoid glomerulonephritis: distinct entities with different clinical and pathologic features. Kidney Int. 2003;63:1450-61.
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10. Müller-Höcker J, Weiss M, Sitter Th, Samtleben W. Fibrillary glomerulonephritis mimicking membranous nephropathy- A diagnostic pitfall. Pathol Res Pract. 2009;205:265-71.
11. Korbet SM, Schwartz MM, Lewis EJ. The fibrillary glomerulopathies. Am J Kidney Dis. 1994;23:751-65.
12. Yang GC, Nieto R, Stachura I, Gallo GR. Ultrastructural immunohistochemical localization of polyclonal IgG, C3 and amyloid P component on the Congo red-negative amyloid-like fibrils of fibrillary glomerulopathy. Am J Pathol. 1992;141:409-19.
13. Fogo AB, Kashgarian M. Glomerulopatía inmunotac-toide. En: Fogo AB, Kashgarian M. editores. Atlas diagnóstico de patología renal. Madrid; Elsevier S.A., 2006. p. 92-6.
14. Alpers CE. Immunotactoid (microtubular) glomerulopathy: an entity distict from fibrillary glomerulonephritis? Am J Kidney Dis. 1992;19:185-91.
15. Bridoux F, Hugue V, Coldefy O, Goujon JM, Bauwens M, Sechet A, et al. Fibrillary glomerulonephritis and immunotactoid (microtubular) glomerulopathy are associated with distinct immunologic features. Kidney Int. 2002;62:1764-75.
16. García I, Valenzuela M. Glomerulopatías con depósitos fibrilares. Rev Esp Patol. 2002;35:167-76.
17. Brady HR. Fibrillary glomerulopathy. Kidney Int. 1998;53:1421-9.
18. Vigil A, Oliet A, Gallar P, Ortega O, Rodríguez I, Picazo L, et al. Rapidly progressive immunotactoid glomerulonephritis and multiple mieloma. Nephron. 1998;79:238-40.
19. Orfila C, Meeus F, Bernadet P, Lepert JC, Sue JM. Immunotactoid glomerulopathy and cutaneus vasculitis. Am J Nephrol. 1991;11:67-72.
20. King J, Culppeper M, Corey R, Tucker A, Lajoie G, Howell D. Glomerulopathies with fibrillary deposits. Ultraestruct Pathol. 2000;24:5-21.
21. Markowitz G, Cheng J, Colvin R, Trebbin W, D’Agati V. Hepatitis C infection is associated with fibrillary glomerulonephritis and immunotactoid glomerulopathy. J Am Soc Nephrol. 1998;9:2244-52.
22. Coroneos E, Truong L, Oliveo J. Fibrillary glomerulonephritis associated with hepatitis C viral infection. Am J Kidney Dis. 1997;29:132-5.
23. Haas M, Rajaraman S, Ahuja T, Kittaka M, Cavallo T. Fibrillary immunotactoid glomerulonephritis in HIV-positive patients: A report of three cases. Nephrol Dial Transplant. 2000;15:1679-83.
2. Pronovost PH, Brady HR, Gunning ME, Espinoza O, Rennke HG. Clinical features, predictors of disease progression and results of renal transplantation in fibrillary/immunotactoid glomerulopathy. Nephrol Dial Transplant. 1996;11:837-42.
3. Joh K. Pathology of glomerular deposition diseases and fibrillary glomerulopathies associated with paraproteinemia and haematopoietic disorder. Nephrology. 2007;12:S21-4.
4. Joh K. Pathology of glomerular deposition diseases. Pathol Int. 2007;57:551-65.
5. Alpers CE, Kowalewska J. Fibrillary glomerulonephritis and immunotactoid glomerulopathy. J Am Soc Nephrol. 2008;19:34-7.
6. Fogo A, Quereshi N, Hom RG. Morphological and clinical features of fibrillary glomerulonephritis versus immunotactoid glomerulopathy. Am J Kidney Dis. 1993;22:367-77.
7. Iskandar SS, Falk RJ, Jennette JC. Clinical and pathologic features of fibrillary glomerulonephritis. Kidney Int. 1992;42:1401-7.
8. Rosenstock JL, Markowitz GS, Valeri AM, Sacchi G, Appel GB, D’Agati VD. Fibrillary and immunotactoid glomerulonephritis: distinct entities with different clinical and pathologic features. Kidney Int. 2003;63:1450-61.
9. Fogo AB, Kashgarian M. Glomerulonefritis fibrilar. En: Fogo AB, Kashgarian M, editores. Atlas diagnóstico de patología renal. Madrid: Elsevier S.A.; 2006. p. 84-92.
10. Müller-Höcker J, Weiss M, Sitter Th, Samtleben W. Fibrillary glomerulonephritis mimicking membranous nephropathy- A diagnostic pitfall. Pathol Res Pract. 2009;205:265-71.
11. Korbet SM, Schwartz MM, Lewis EJ. The fibrillary glomerulopathies. Am J Kidney Dis. 1994;23:751-65.
12. Yang GC, Nieto R, Stachura I, Gallo GR. Ultrastructural immunohistochemical localization of polyclonal IgG, C3 and amyloid P component on the Congo red-negative amyloid-like fibrils of fibrillary glomerulopathy. Am J Pathol. 1992;141:409-19.
13. Fogo AB, Kashgarian M. Glomerulopatía inmunotac-toide. En: Fogo AB, Kashgarian M. editores. Atlas diagnóstico de patología renal. Madrid; Elsevier S.A., 2006. p. 92-6.
14. Alpers CE. Immunotactoid (microtubular) glomerulopathy: an entity distict from fibrillary glomerulonephritis? Am J Kidney Dis. 1992;19:185-91.
15. Bridoux F, Hugue V, Coldefy O, Goujon JM, Bauwens M, Sechet A, et al. Fibrillary glomerulonephritis and immunotactoid (microtubular) glomerulopathy are associated with distinct immunologic features. Kidney Int. 2002;62:1764-75.
16. García I, Valenzuela M. Glomerulopatías con depósitos fibrilares. Rev Esp Patol. 2002;35:167-76.
17. Brady HR. Fibrillary glomerulopathy. Kidney Int. 1998;53:1421-9.
18. Vigil A, Oliet A, Gallar P, Ortega O, Rodríguez I, Picazo L, et al. Rapidly progressive immunotactoid glomerulonephritis and multiple mieloma. Nephron. 1998;79:238-40.
19. Orfila C, Meeus F, Bernadet P, Lepert JC, Sue JM. Immunotactoid glomerulopathy and cutaneus vasculitis. Am J Nephrol. 1991;11:67-72.
20. King J, Culppeper M, Corey R, Tucker A, Lajoie G, Howell D. Glomerulopathies with fibrillary deposits. Ultraestruct Pathol. 2000;24:5-21.
21. Markowitz G, Cheng J, Colvin R, Trebbin W, D’Agati V. Hepatitis C infection is associated with fibrillary glomerulonephritis and immunotactoid glomerulopathy. J Am Soc Nephrol. 1998;9:2244-52.
22. Coroneos E, Truong L, Oliveo J. Fibrillary glomerulonephritis associated with hepatitis C viral infection. Am J Kidney Dis. 1997;29:132-5.
23. Haas M, Rajaraman S, Ahuja T, Kittaka M, Cavallo T. Fibrillary immunotactoid glomerulonephritis in HIV-positive patients: A report of three cases. Nephrol Dial Transplant. 2000;15:1679-83.
How to Cite
1.
Cantillo J de J, López R del P, Andrade RE. Glomerular deposition disease, regarding a case of fibrillary glomerulonephritis. Biomed. [Internet]. 2009 Dec. 1 [cited 2025 Apr. 9];29(4):539-46. Available from: https://revistabiomedicaorg.biteca.online/index.php/biomedica/article/view/144
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Published
2009-12-01
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Section
Case presentation
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