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Clinical observation of monoclonal fibrillary glomerulonephritis

https://doi.org/10.20340/vmi-rvz.2024.6.MORPH.1

Abstract

Monoclonal gammopathy of renal significance is a condition caused by the proliferation of a clone of B-lymphocytes or plasma cells that does not reach the criteria required for the initiation of treatment for oncohematological indications, but is characterized by the secretion of nephrotoxic paraprotein. There are many morphological variants of this disease and their diagnosis requires the use of additional research methods. This article presents a clinical observation of a 54-year-old patient admitted to the nephrology department with nephrotic syndrome. According to the results of nephrobiopsy, the patient was diagnosed with monoclonal fibrillary glomerulonephritis. Additional examination of the patient did not reveal signs of lymphoproliferative disease.

About the Authors

T. A. Garkusha
Krasnoyarsk State Medical University named after Professor V. F. Voyno-Yasenetsky; Krasnoyarsk Regional Pathological Anatomy Bureau
Russian Federation

Tat'yana A. Garkusha, Assistant of the Department of Pathological Anatomy named after Professor P.G. Podzolkov; pathologist 

1, Partizana Zheleznyaka str., Krasnoyarsk, 660022;
3D, Partizana Zheleznyaka str., Krasnoyarsk, 660022


Competing Interests:

The authors declare no competing interests.



F. V. Alyab'ev
Krasnoyarsk State Medical University named after Professor V. F. Voyno-Yasenetsky
Russian Federation

Fedor V. Alyab'ev, Dr. Sci. (Med.), Professor, Head of the Department of Pathological Anatomy named after Professor P.G. Podzolkov, Head of the Department of Forensic Medicine and PO 

1, Partizana Zheleznyaka str., Krasnoyarsk, 660022


Competing Interests:

The authors declare no competing interests.



T. A. Vdovik
Krasnoyarsk State Medical University named after Professor V. F. Voyno-Yasenetsky
Russian Federation

Tat'yana A. Vdovik, Student of the Faculty of Medicine 

1, Partizana Zheleznyaka str., Krasnoyarsk, 660022


Competing Interests:

The authors declare no competing interests.



References

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For citations:


Garkusha T.A., Alyab'ev F.V., Vdovik T.A. Clinical observation of monoclonal fibrillary glomerulonephritis. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2024;14(6):6-10. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.6.MORPH.1

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ISSN 2226-762X (Print)
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