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Lymphoma-Associated Monoclonal Cryoglobulinemic Glomerulonephritis and Relationship with Hepatitis C Virus Infection: A Case Report

机译:淋巴瘤相关的单克隆干酪肾上腺素肾盂肾炎及与丙型肝炎病毒感染的关系:案例报告

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We report a case of type I cryoglobulinemic glomerulonephritis in a patient with chronic hepatitis C who presented with acute renal failure. The renal biopsy revealed membranoproliferative GN (MPGN) due to cryoglobulinemia with unexpected monoclonal Kappa restriction on immunofluorescence microscopy, suggesting an underlying hematopoietic malignancy. The bone marrow biopsy revealed presence of marginal zone lymphoma. Our case raises awareness regarding possibility of monoclonality in the renal biopsy of HCV-infected patients and exemplifies the crucial role the renal biopsy plays in detecting lymphoid malignancies where clinical features are ambiguous.
机译:我们在患有急性肾功能衰竭的慢性丙型肝炎患者中举报了I型Cryoglobuliny肾小球肾炎的情况。由于对免疫荧光显微镜的意外单克隆kappa限制,肾活检揭示了膜中血血管蛋白酶血症,提出了造血性造血性恶性肿瘤的意外单克隆κ血症。骨髓活检揭示了边缘区淋巴瘤的存在。我们的案例提高了对HCV感染患者肾活检中单蛋白酶体的可能性的认识,并举例说明肾活组织检查在检测淋巴恶性肿瘤中的关键作用,其中临床特征含糊不清。

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