• Dr. Vincenzo L'Imperio

IgA-dominant MPGN

Background

IgA dominant membranoproliferative glomerulonephritis (MPGN) is a descriptive term for renal biopsies in which differential diagnoses of unusual IgA nephropathy (IgAN), infection-related GN, monotypic IgA MPGN or other etiologies are considered.


Take home messages

  • Two groups (n=27, 33 biopsies) were identified (with/without chronic liver disease (CLD)

  • Renal biopsies from patients without CLD showed higher incidence of fibrinoid necrosis and crescents formation

  • Pt w/o CLD (n=15) are younger (40 yo), with no history of infection, three (27%) progressed to ESRD, one had recurrent GN in allograft, four of five patients had persistent IgA dominant MPGN

  • Pt w/ CLD (n=12) are older (56 yo), with concurrent infections (42%), 80% of those died in the following year and 2 were dialysis-dependent

  • IgA dominant MPGN has a poorer prognosis as compared to IgA nephropathy in patients without CLD and is correlated with infections in CLD patients, leading to death within one year regardless of treatment

https://www.sciencedirect.com/science/article/abs/pii/S0046817718302466


#renalpath #nephropath #IgAnephropathy #MPGN #immunofluorescence #renalbiopsy #chronicliverdisease #CKD #dialysis #transplantation #ESRD

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Sito della Scuola di Anatomia Patologica

dell'Università degli Studi di Milano-Bicocca

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