Evidence map›Paper›PMID 32770308›Full record

ArticleCEN case reports2021

Membranous nephropathy with masked polyclonal IgG deposits associated with primary Sjögren's syndrome.

Kiyotaka Nagahama, Aya Isomura, Hiroaki Shimoyamada, Shintaro Masuko, Sachiko Shimoda, Miho Karube, Yoshinori Komagata, Shinya Kaname, Junji Shibahara

Open access · greenAbstract readCase Reports
In one paragraph

Article in CEN case reports, 2021. 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 37% 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, 7 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

9 authors at 1 institution in 1 country.

Kiyotaka NagahamaDepartment of Pathology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka-shi, Tokyo, 181-8611, Japan. ki-nagahama@ks.kyorin-u.ac.jp.ORCID 0000-0002-1859-026X
Aya IsomuraDepartment of Pathology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka-shi, Tokyo, 181-8611, Japan.
Hiroaki ShimoyamadaDepartment of Pathology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka-shi, Tokyo, 181-8611, Japan.
Shintaro MasukoDepartment of Nephrology and Rheumatology, Kyorin University School of Medicine, Tokyo, Japan.
Sachiko ShimodaDepartment of Nephrology and Rheumatology, Kyorin University School of Medicine, Tokyo, Japan.
Miho KarubeDepartment of Nephrology and Rheumatology, Kyorin University School of Medicine, Tokyo, Japan.
Yoshinori KomagataDepartment of Nephrology and Rheumatology, Kyorin University School of Medicine, Tokyo, Japan.
Shinya KanameDepartment of Nephrology and Rheumatology, Kyorin University School of Medicine, Tokyo, Japan.
Junji ShibaharaDepartment of Pathology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka-shi, Tokyo, 181-8611, Japan.
Kyorin University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tubulointerstitial nephritis and renal tubular acidosis are well-known renal involvements with primary Sjögren's syndrome. However, several types of glomerulonephritis such as membranoproliferative glomerulonephritis and membranous nephropathy are also known to develop in patients with this syndrome. We here report a case of membranous nephropathy that developed 8 years after a diagnosis of primary Sjögren's syndrome in a female patient. Interestingly, the deposition was not identified by routine immunofluorescence using snap frozen tissue, but was revealed by immunofluorescence on formalin-fixed paraffin-embedded sections treated with proteinase K. We further performed immunofluorescence analysis on the treated paraffin-embedded sections with the identified antigen but found that the deposited IgG was not monoclonal and that serum amyloid P, a sensitive marker for membranous-like glomerulopathy with masked IgG κ deposits, was not evident in the glomeruli. To the best of our knowledge, this report depicted the first case of masked polyclonal IgG deposits and further analysis is needed to clarify the underlying mechanisms of IgG masking and possible association with autoantibodies.

Indexed as

Aged, 80 and overAsian PeopleBiopsyDiureticsFemaleFluorescent Antibody TechniqueGlomerulonephritis, MembranousHumansImmunoglobulin GKidney GlomerulusMicroscopy, ElectronSjogren's SyndromeTreatment OutcomeDiureticsImmunoglobulin GMembranous-like glomerulopathy with masked IgG-κ depositsMembranous nephropathySjögren’s syndrome

Identifiers

PMID32770308
PMCPMC7829316
OpenAlexW3047852066

What OpenQuestion holds

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Registered trials

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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.