Document Detail


Nephrotic syndrome and neoplasm. The findings to date, with practical implications.
MedLine Citation:
PMID:  6494075     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The following points should be kept in mind in cases of nephrotic syndrome. Neoplasm (malignant or benign) occurs in approximately 10% of adults with nephrotic syndrome (15% of those over age 60). The neoplasm may be evident before, after, or simultaneously with the development of the nephrotic syndrome. Minimal change lesion in the kidney suggests possible Hodgkin's disease, while membranous nephropathy is more suggestive of possible carcinoma, although there are many exceptions to this generalization. Membrano-proliferative and focal sclerosis renal lesions also occur with diverse tumors. Strong evidence exists that in cases of carcinoma and nephrotic syndrome, the renal lesion is generally due to immune complexes--either tumor-associated antigens, fetal antigens, or viral antigens. In cases involving Hodgkin's disease, T-cell deficiency may be relevant in the genesis of the minimal change lesion and the nephrotic syndrome. Nephrotic syndrome often responds to effective treatment of the tumor and commonly recurs with relapse of the neoplasm. Nephrotic syndrome without apparent cause in an adult compels consideration of an associated neoplasm.
Authors:
S Papper
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Postgraduate medicine     Volume:  76     ISSN:  0032-5481     ISO Abbreviation:  Postgrad Med     Publication Date:  1984 Nov 
Date Detail:
Created Date:  1984-12-19     Completed Date:  1984-12-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401147     Medline TA:  Postgrad Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  147-8, 153-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Antigen-Antibody Complex
Humans
Neoplasms / complications*,  immunology,  physiopathology
Nephrotic Syndrome / etiology*,  immunology,  physiopathology
Chemical
Reg. No./Substance:
0/Antigen-Antibody Complex

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