impact factor, citescore
logo
In press
In Press
Recent issue
Recent issue
Recent Supplement
Recent supplement
archives
Archives
articles free
Free to view
Search
Search
 

Full Papers

 

Antineutrophil cytoplasmic antibody and/or antiglomerular basement membrane antibody associated crescentic glomerulonephritis in combination with IgG4-related tubulointerstitial nephritis

1, 2, 3, 4, 5, 6

 

  1. Division of Nephrology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
  2. Division of Nephrology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
  3. Division of Nephrology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. drhongcheng@163.com
  4. Division of Nephrology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
  5. Division of Nephrology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
  6. Division of Nephrology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

CER11295
2019 Vol.37, N°2
PI 0279, PF 0285
Full Papers

Free to view
(click on article PDF icon to read the article)

PMID: 30183608 [PubMed]

Received: 01/04/2018
Accepted : 04/06/2018
In Press: 29/08/2018
Published: 19/03/2019

Abstract

OBJECTIVES:
Immunoglobulin G4 (IgG4)-related disease (IgG4-RD) is an immune-mediated fibroinflammatory disorder and is characterised by elevated serum IgG4 concentrations and dense lymphoplasmacytic infiltrate rich in IgG4+ plasma cells. IgG4-related tubulointerstitial nephritis (IgG4-TIN) is the most common manifestation of IgG4-related kidney disease (IgG4-RKD). We report four cases of kidney injury with concurrent IgG4-TIN and crescentic glomerulonephritis confirmed by renal pathology.
METHODS:
The medical charts of four patients were reviewed to collect clinical and laboratory data at the time of diagnosis, treatment and outcomes after 6-36 months. Two of them are cases of IgG4-TIN with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), and the other two cases are rare IgG4-TIN with antiglomerular basement membrane (anti-GBM) glomerulonephritis coexistent with ANCA-positive serum.
RESULTS:
Compared with IgG4-TIN, IgG4-TIN combined with AAV or anti-GBM glomerulonephritis is less associated with other organ injuries, and the clinical manifestations, treatment effects and prognosis were consistent with that of crescentic glomerulonephritis.
CONCLUSIONS:
IgG4-TIN concurrent with anti-GBM glomerulonephritis and positivity in serum has more severe clinical features and a worse renal prognosis than IgG4-TIN coexistent with AVV.

Rheumatology Article