Evidence map›Paper›PMID 32423442›Full record

ArticleBMC nephrology2020

Crystalglobulin-associated nephropathy presenting as MGRS in a case of monoclonal B-cell lymphocytosis: a case report.

Rajib K Gupta, Lois J Arend, Anupama Bk, Sriram Narsipur, Ramya Bhargava

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. The Crystalline Nephropathies.Kidney international reports · 2021
    Review
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 2 institutions in 1 country.

Rajib K GuptaDepartment of Pathology, SUNY Upstate Medical University, 750 E Adams Street, Syracuse, NY, 13210, USA. rajibgupta2011@gmail.com.ORCID 0000-0003-2499-9528
Lois J ArendDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Anupama BkDepartment of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA.
Sriram NarsipurDepartment of Medicine and Nephrology, SUNY Upstate Medical University, Syracuse, NY, USA.
Ramya BhargavaDepartment of Nephrology, SUNY Upstate Medical University, Syracuse, NY, USA.
SUNY Upstate Medical University · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCrystalglobulin-associated nephropathy (CAN), a rare subtype of monoclonal gammopathy, usually associated with multiple myeloma and occasionally monoclonal gammopathy of uncertain significance (MGUS), is characterized by occluding monoclonal pseudothrombi within renal glomerular capillaries and/or interstitial arterioles. Ultrastructurally, these pseudothrombi are unique for having a crystalline substructure. We describe a case of an adult patient with monoclonal B-cell lymphocytosis (MBL) and acute renal failure whose kidney biopsy revealed a rare diagnosis of CAN. CASE PRESENTATION: A 63-year old male presented with a 2-month history of edema, arthralgia and malaise. He had acute kidney injury with hematoproteinuria on urine analysis. Serum and urine protein electrophoresis were both negative. A renal biopsy however revealed features of CAN. Organomegaly, bone pain and lymphadenopathy were absent. A repeat serum electrophoresis was positive for IgA kappa and a free light chain assay showed elevated free kappa light chains. Flow cytometry done subsequently revealed a diagnosis of MBL, chronic lymphocytic leukemia (CLL) type.

conclusionCAN in association with MBL/CLL has not been previously described in literature, and our case highlights yet another instance of monoclonal gammopathy of renal significance (MGRS) where a small B-cell clone resulted in extensive renal pathology without systemic manifestations.

Indexed as

B-LymphocytesCrystallizationAcute Kidney InjuryHumansImmunoglobulin kappa-ChainsImmunoglobulin Light ChainsKidneyKidney DiseasesLeukemia, Lymphocytic, Chronic, B-CellLymphocytosisMaleMiddle AgedParaproteinemiasImmunoglobulin kappa-ChainsImmunoglobulin Light ChainsCrystalglobulin-associated nephropathyMonoclonal B-cell lymphocytosisMonoclonal gammopathy of renal significance

Identifiers

PMID32423442
PMCPMC7236346
OpenAlexW3028092261

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.