Abstract

The initial investigations revealed serum creatinine: 1.05 mg/dL, serum potassium: 3.1 mEq/L, hemoglobin: 9.0 g/dL, erythrocyte sedimentation rate: 125 mm after 1st h, total serum proteins: 5.6 g/dL, serum albumin: 1.6 g/dL, total cholesterol: 172 mg/dL, triglycerides: 276 mg/dL, serum calcium: 8.2 mg/dL, serum phosphorus: 3.4 mg/dL, serum uric acid: 8.9 mg/dL, 24 h urine protein: 3.1 g, urine albumin: 1+, urine red blood cells: nil, and urine white blood cells: 2–4/hpf. [3] Our patient had no features of myeloma cast nephropathy on renal biopsy but had mesangial proliferative glomerulonephritis (GN) with mesangial IgA deposition, which is a characteristic pattern of IgA nephropathy and HSP nephritis. A monoclonal component consisting of IgG light chain was found in serum and bone marrow aspiration material that consisted of 10% of plasma cells confirming multiple myeloma.

Details

Title
IgA nephropathy in a patient with IgG myeloma
Author
Lakshmi, B 1 ; Padmavathi Devi, S 2 ; Sameera, N 1 ; Reddy, A 1 ; Ram, R 1 ; Kumar, Vishnubotla 1 

 Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh 
 Department of Medicine, Vydehi Institute of Medical Sciences, Bengaluru, Karnataka 
Pages
404-406
Publication year
2018
Publication date
Sep/Oct 2018
Publisher
Scientific Scholar
ISSN
09714065
e-ISSN
19983662
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2102325736
Copyright
© 2018. This work is published under https://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.