Evidence map›Paper›PMID 30419839›Full record

ReviewBMC nephrology2018

Monoclonal light chain crystalline podocytopathy and tubulopathy associated with monoclonal gammopathy of renal significance: a case report and literature review.

Xiao-Juan Yu, Xu-Jie Zhou, Su-Xia Wang, Fu-de Zhou, Ming-Hui Zhao

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  5. Review
  6. Article
  7. Article
  8. Acute Kidney Injury in Monoclonal Gammopathies.Journal of clinical medicine · 2021
    Review
  9. Review
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  11. Review
  12. Article
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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

5 authors at 3 institutions in 1 country.

Xiao-Juan YuRenal Division, Department of Medicine, Peking University First Hospital, Beijing, 100034, People's Republic of China.
Xu-Jie ZhouRenal Division, Department of Medicine, Peking University First Hospital, Beijing, 100034, People's Republic of China.
Su-Xia WangRenal Division, Department of Medicine, Peking University First Hospital, Beijing, 100034, People's Republic of China. suxiawang@bjmu.edu.cn.
Fu-de ZhouRenal Division, Department of Medicine, Peking University First Hospital, Beijing, 100034, People's Republic of China.
Ming-Hui ZhaoRenal Division, Department of Medicine, Peking University First Hospital, Beijing, 100034, People's Republic of China.
Peking University · CNPeking University First Hospital · CNMinistry of Education of the People's Republic of China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMonoclonal gammopathy of renal significance (MGRS) is a recently defined group of renal diseases caused by monoclonal immunoglobulin secreted by nonmalignant proliferative B cell or plasma cell. Monoclonal immunoglobulin can form different types of structures deposited in renal tissue, including fibrils, granules, microtubules, crystals and casts, and has mostly been reported in multiple myeloma patients. Here we report a rare case with κ light chain crystals in both podocytes and tubular epithelial cells associated with MGRS, which adds more information to the spectrum of MGRS-related renal diseases. CASE PRESENTATION: A 53-year old woman presented with albumin-predominant moderate proteinuria and renal failure. She had monoclonal IgGκ in the serum and monoclonal IgGκ plus free κ in the urine. Multiple myeloma and lymphoproliferative disorders were excluded. Renal biopsy confirmed κ-restricted crystal-storing renal disease involving the podocytes and proximal tubular epithelial cells. The patient was treated with bortezomib followed by lenalidomide-based chemotherapy, and renal function was stable after 1 year of follow-up.

conclusionsThis is a rare case of combined crystalline podocytopathy and tubulopathy associated with MGRS, in which diagnosis was dependent on electron and immuno-electron microscopy.

Indexed as

Immunoglobulin Light ChainsFemaleHumansKidney DiseasesKidney Tubules, ProximalMiddle AgedParaproteinemiasPodocytesImmunoglobulin Light ChainsCrystal depositionMGRSMonoclonal gammopathyPodocytopathy

Identifiers

PMID30419839
PMCPMC6233383
OpenAlexW2900515768

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.