Fibrillary glomerulonephritis with small fibrils in a patient with the antiphospholipid antibody syndrome successfully treated with immunosuppressive therapy
2007

Fibrillary Glomerulonephritis Treated with Immunosuppressive Therapy

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Javaid Muhammad M, Denley Helen, Tagboto Senyo

Primary Institution: Glan Clwyd Hospital, Central Manchester and Manchester Children's University Hospitals NHS Trust, University Hospital of North Staffordshire

Hypothesis

The role of immunosuppressive treatment in fibrillary glomerulonephritis is uncertain.

Conclusion

Immunosuppressive treatment led to partial recovery and stabilization of renal function in the patient.

Supporting Evidence

  • The patient had worsening renal function and was treated with immunosuppressive therapy.
  • Electron microscopy showed smaller fibrils than typical for fibrillary glomerulonephritis.
  • The patient's renal function improved significantly after treatment.

Takeaway

A woman with kidney problems got better after taking special medicines that help the immune system.

Methodology

The patient was treated with cyclophosphamide and prednisolone after a renal biopsy confirmed the diagnosis.

Limitations

The diagnosis may be underreported where light microscopic findings are not complemented by electron microscopy.

Participant Demographics

A 56-year-old woman with a history of antiphospholipid antibody syndrome.

Digital Object Identifier (DOI)

10.1186/1471-2369-8-7

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