Cargando…

Type II Cryoglobulinemic Membranoproliferative Glomerulonephritis Caused by Mucosa-associated Lymphoid Tissue Lymphoma

A 67-year-old man complained of lower limb edema with a purpuric skin rash. Laboratory tests revealed proteinuria, elevated serum creatinine levels, and low serum albumin levels. The patient was also positive for cryoglobulin in serum, immunoglobulin (Ig) M gammopathy, hypocomplementemia, and rheuma...

Descripción completa

Detalles Bibliográficos
Autores principales: Sugihara, Ayano, Ureshino, Hiroshi, Yamasaki, Masatora, Fukuda, Makoto, Yoshihara, Maki, Nonaka, Eriko, Miyazaki, Mariko, Fujita, Mai, Ishii, Keitaro, Kamachi, Kazuharu, Sano, Haruhiko, Okamoto, Sho, Itamura, Hidekazu, Yoshimura, Mariko, Katsuya, Hiroo, Ando, Toshihiko, Aoki, Shigehisa, Ubara, Yoshifumi, Kimura, Shinya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10372288/
https://www.ncbi.nlm.nih.gov/pubmed/37394661
http://dx.doi.org/10.2169/internalmedicine.0756-22
_version_ 1785078340717117440
author Sugihara, Ayano
Ureshino, Hiroshi
Yamasaki, Masatora
Fukuda, Makoto
Yoshihara, Maki
Nonaka, Eriko
Miyazaki, Mariko
Fujita, Mai
Ishii, Keitaro
Kamachi, Kazuharu
Sano, Haruhiko
Okamoto, Sho
Itamura, Hidekazu
Yoshimura, Mariko
Katsuya, Hiroo
Ando, Toshihiko
Aoki, Shigehisa
Ubara, Yoshifumi
Kimura, Shinya
author_facet Sugihara, Ayano
Ureshino, Hiroshi
Yamasaki, Masatora
Fukuda, Makoto
Yoshihara, Maki
Nonaka, Eriko
Miyazaki, Mariko
Fujita, Mai
Ishii, Keitaro
Kamachi, Kazuharu
Sano, Haruhiko
Okamoto, Sho
Itamura, Hidekazu
Yoshimura, Mariko
Katsuya, Hiroo
Ando, Toshihiko
Aoki, Shigehisa
Ubara, Yoshifumi
Kimura, Shinya
author_sort Sugihara, Ayano
collection PubMed
description A 67-year-old man complained of lower limb edema with a purpuric skin rash. Laboratory tests revealed proteinuria, elevated serum creatinine levels, and low serum albumin levels. The patient was also positive for cryoglobulin in serum, immunoglobulin (Ig) M gammopathy, hypocomplementemia, and rheumatoid factor. He was negative for anti-hepatitis C virus antibodies. A pathological analysis of the renal tissue revealed membranoproliferative glomerulonephritis, common histological features of cryoglobulinemic vasculitis (CV), and mucosa-associated lymphoid tissue lymphoma invasion. Although hematologic malignancy is a rare cause of type II CV, these clinical findings suggest that mucosa-associated lymphoid tissue lymphoma (MALT) lymphoma may have been the cause in the present case.
format Online
Article
Text
id pubmed-10372288
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-103722882023-07-28 Type II Cryoglobulinemic Membranoproliferative Glomerulonephritis Caused by Mucosa-associated Lymphoid Tissue Lymphoma Sugihara, Ayano Ureshino, Hiroshi Yamasaki, Masatora Fukuda, Makoto Yoshihara, Maki Nonaka, Eriko Miyazaki, Mariko Fujita, Mai Ishii, Keitaro Kamachi, Kazuharu Sano, Haruhiko Okamoto, Sho Itamura, Hidekazu Yoshimura, Mariko Katsuya, Hiroo Ando, Toshihiko Aoki, Shigehisa Ubara, Yoshifumi Kimura, Shinya Intern Med Case Report A 67-year-old man complained of lower limb edema with a purpuric skin rash. Laboratory tests revealed proteinuria, elevated serum creatinine levels, and low serum albumin levels. The patient was also positive for cryoglobulin in serum, immunoglobulin (Ig) M gammopathy, hypocomplementemia, and rheumatoid factor. He was negative for anti-hepatitis C virus antibodies. A pathological analysis of the renal tissue revealed membranoproliferative glomerulonephritis, common histological features of cryoglobulinemic vasculitis (CV), and mucosa-associated lymphoid tissue lymphoma invasion. Although hematologic malignancy is a rare cause of type II CV, these clinical findings suggest that mucosa-associated lymphoid tissue lymphoma (MALT) lymphoma may have been the cause in the present case. The Japanese Society of Internal Medicine 2023-07-01 2023-07-01 /pmc/articles/PMC10372288/ /pubmed/37394661 http://dx.doi.org/10.2169/internalmedicine.0756-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sugihara, Ayano
Ureshino, Hiroshi
Yamasaki, Masatora
Fukuda, Makoto
Yoshihara, Maki
Nonaka, Eriko
Miyazaki, Mariko
Fujita, Mai
Ishii, Keitaro
Kamachi, Kazuharu
Sano, Haruhiko
Okamoto, Sho
Itamura, Hidekazu
Yoshimura, Mariko
Katsuya, Hiroo
Ando, Toshihiko
Aoki, Shigehisa
Ubara, Yoshifumi
Kimura, Shinya
Type II Cryoglobulinemic Membranoproliferative Glomerulonephritis Caused by Mucosa-associated Lymphoid Tissue Lymphoma
title Type II Cryoglobulinemic Membranoproliferative Glomerulonephritis Caused by Mucosa-associated Lymphoid Tissue Lymphoma
title_full Type II Cryoglobulinemic Membranoproliferative Glomerulonephritis Caused by Mucosa-associated Lymphoid Tissue Lymphoma
title_fullStr Type II Cryoglobulinemic Membranoproliferative Glomerulonephritis Caused by Mucosa-associated Lymphoid Tissue Lymphoma
title_full_unstemmed Type II Cryoglobulinemic Membranoproliferative Glomerulonephritis Caused by Mucosa-associated Lymphoid Tissue Lymphoma
title_short Type II Cryoglobulinemic Membranoproliferative Glomerulonephritis Caused by Mucosa-associated Lymphoid Tissue Lymphoma
title_sort type ii cryoglobulinemic membranoproliferative glomerulonephritis caused by mucosa-associated lymphoid tissue lymphoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10372288/
https://www.ncbi.nlm.nih.gov/pubmed/37394661
http://dx.doi.org/10.2169/internalmedicine.0756-22
work_keys_str_mv AT sugiharaayano typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT ureshinohiroshi typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT yamasakimasatora typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT fukudamakoto typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT yoshiharamaki typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT nonakaeriko typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT miyazakimariko typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT fujitamai typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT ishiikeitaro typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT kamachikazuharu typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT sanoharuhiko typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT okamotosho typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT itamurahidekazu typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT yoshimuramariko typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT katsuyahiroo typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT andotoshihiko typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT aokishigehisa typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT ubarayoshifumi typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma
AT kimurashinya typeiicryoglobulinemicmembranoproliferativeglomerulonephritiscausedbymucosaassociatedlymphoidtissuelymphoma