Secondary membranous glomerulonephritis associated with recipient residual lymphoma cells after allogeneic bone marrow transplantation

A 29-year-old man with malignant lymphoma developed membranous nephropathy (MN) after allogeneic bone-marrow transplantation (BMT). There had been no obvious findings of graft versus host diseases (GVHD) after BMT, and the dosage of immunosuppressant drugs had not been reduced during this period. At...

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Veröffentlicht in:Clinical and experimental nephrology 2009-04, Vol.13 (2), p.174-178
Hauptverfasser: Sakai, Kentaro, Usui, Joichi, Kai, Hirayasu, Hagiwara, Masahiro, Morito, Naoki, Saito, Chie, Yoh, Keigyou, Tsuruoka, Syuichi, Hirayama, Kouichi, Aita, Kumi, Nagata, Michio, Yamagata, Kunihiro
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container_end_page 178
container_issue 2
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container_title Clinical and experimental nephrology
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creator Sakai, Kentaro
Usui, Joichi
Kai, Hirayasu
Hagiwara, Masahiro
Morito, Naoki
Saito, Chie
Yoh, Keigyou
Tsuruoka, Syuichi
Hirayama, Kouichi
Aita, Kumi
Nagata, Michio
Yamagata, Kunihiro
description A 29-year-old man with malignant lymphoma developed membranous nephropathy (MN) after allogeneic bone-marrow transplantation (BMT). There had been no obvious findings of graft versus host diseases (GVHD) after BMT, and the dosage of immunosuppressant drugs had not been reduced during this period. At the onset of MN, a few lymphoma cells still remained in the bone marrow; the patient achieved complete remission of MN after the disappearance of the lymphoma cells. In this case it is suggested that immune complexes including antigens expressed by lymphoma cells might induce MN. Therefore, this is a significant case that may reveal an alternative mechanism of the onset of MN related to BMT.
doi_str_mv 10.1007/s10157-008-0120-z
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subjects Adult
Bone Marrow Transplantation - adverse effects
Bone Marrow Transplantation - immunology
Case Report
Glomerulonephritis, Membranous - etiology
Glomerulonephritis, Membranous - immunology
Humans
Immunoglobulin G - immunology
Kidney - immunology
Kidney - pathology
Lymphoma - complications
Lymphoma - immunology
Lymphoma - therapy
Male
Medicine
Medicine & Public Health
Neoplasm, Residual - complications
Neoplasm, Residual - immunology
Nephrology
Remission Induction
Transplantation, Homologous
Urology
title Secondary membranous glomerulonephritis associated with recipient residual lymphoma cells after allogeneic bone marrow transplantation
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