Document Detail


A case of glomerulopathy showing podocytic infolding in association with Sjögren's syndrome and primary biliary cirrhosis.
MedLine Citation:
PMID:  18839063     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 49-year-old man was admitted to our hospital with mild proteinuria. Prior to admission, he had been diagnosed as having Sjögren's syndrome in association with primary biliary cirrhosis. Examination of a renal biopsy under light microscopy revealed diffuse and global mesangial cell proliferation and a spike and/or bubbling formation of the glomerular basement membrane (GBM), resembling membranoproliferative glomerulonephritis. In contrast, immunofluorescent studies showed marked immunoglobulin and complement depositions in the mesangial areas; however, only faint granular IgG and IgA deposition was observed along the GBM. Interestingly, electron microscopy revealed that a microtubular structure, derived from podocytes, was present in the GBM. We present a case of glomerulopathy showing podocytic infolding in association with Sjögren's syndrome and primary biliary cirrhosis.
Authors:
Kentaro Koike; Yasunori Utsunomiya; Yoriko Ito; Satori Tokudome; Yoichi Miyazaki; Takahide Suzuki; Hideo Okonogi; Tetsuya Kawamura; Akio Yamada; Tatsuo Hosoya; Kensuke Joh
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Publication Detail:
Type:  Journal Article     Date:  2008-10-07
Journal Detail:
Title:  Clinical and experimental nephrology     Volume:  12     ISSN:  1342-1751     ISO Abbreviation:  Clin. Exp. Nephrol.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-21     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9709923     Medline TA:  Clin Exp Nephrol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  489-93     Citation Subset:  IM    
Affiliation:
Division of Kidney and Hypertension, The Jikei University School of Medicine, Minato-ku, Tokyo, 105-8461, Japan.
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MeSH Terms
Descriptor/Qualifier:
Glomerular Basement Membrane / pathology*,  ultrastructure
Humans
Liver Cirrhosis, Biliary / complications,  pathology*
Male
Microspheres
Middle Aged
Podocytes / pathology*,  ultrastructure
Sjogren's Syndrome / complications,  pathology*

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