Evidence map›Paper›PMID 29907095›Full record

ArticleBMC nephrology2018

A case of immunotactoid glomerulopathy with false-negative IgG staining.

Shuma Hirashio, Takahiro Arima, Ayaka Satoh, Kouichi Mandai, Shigeo Hara, Takao Masaki

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 95% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Shuma HirashioDepartment of Nephrology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, 7348551, Japan.
Takahiro ArimaDepartment of Nephrology, National Hospital Organization Higashihiroshima Medical Center, Hiroshima, Japan.
Ayaka SatohDepartment of Nephrology, National Hospital Organization Higashihiroshima Medical Center, Hiroshima, Japan.
Kouichi MandaiDepartment of Diagnostic Pathology, National Hospital Organization Higashihiroshima Medical Center, Hiroshima, Japan.
Shigeo HaraDepartment of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan.
Takao MasakiDepartment of Nephrology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, 7348551, Japan. masakit@hiroshima-u.ac.jp.
Higashihiroshima Medical Center · JPHiroshima University Hospital · JPKobe University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunotactoid glomerulopathy (ITG) is a rare glomerulonephritis characterized by microtubular deposits. Immunofluorescence findings are necessary to differentiate ITG from other proliferative glomerular diseases. The characteristic tubular structure on electron microscopy is essential for a definitive diagnosis, and the diameter of the structure has been traditionally used for differentiating between ITG and other types of glomerulonephritis with organized deposits. In recent years, the disease concept of monoclonal gammopathy of renal significance, which is associated with M protein produced by plasma cell tumors, has been proposed. CASE PRESENTATION: This was a peculiar case of ITG with underlying monoclonal gammopathy in which IgG showed a false-negative result with immunofluorescence using frozen sections. Additional examinations using a different clone of the anti-IgG antibody revealed typical IgG staining. C4d was strongly positive, consistent with immune complex type glomerulonephritis.

conclusionsThis case highlights unusual features of ITG, and provides a practical hint to avoid a diagnostic pitfall.

Indexed as

AgedFalse Negative ReactionsGlomerulonephritisHumansImmunoglobulin GMaleStaining and LabelingImmunoglobulin GFalse-negativeImmunotactoid glomerulopathyMonoclonal gammopathy of renal significanceMonoclonal gammopathy of undetermined significance

Identifiers

PMID29907095
PMCPMC6003039
OpenAlexW2807944771

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.