Distinguishing minimal-change disease from mesangial disorders
نویسندگان
چکیده
منابع مشابه
Minimal Change Disease.
Minimal change disease (MCD) is a major cause of idiopathic nephrotic syndrome (NS), characterized by intense proteinuria leading to edema and intravascular volume depletion. In adults, it accounts for approximately 15% of patients with idiopathic NS, reaching a much higher percentage at younger ages, up to 70%-90% in children >1 year of age. In the pediatric setting, a renal biopsy is usually ...
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Treatment with rituximab, a monoclonal antibody against the B-lymphocyte surface protein CD20, leads to the depletion of B cells. Recently, rituximab was reported to effectively prevent relapses of glucocorticoid-dependent or frequently relapsing minimal change disease (MCD). MCD is thought to be T-cell mediated; how rituximab controls MCD is not understood. In this review, we summarize key cli...
متن کاملMinimal change disease: a review.
Minimal change disease (MCD) is a histopathological lesion in the kidney that is most commonly associated with nephrotic syndrome. The majority of the cases are idiopathic. Pathogenesis is not well understood, although T-cell-related mechanisms are implicated. Massive proteinuria leads to hypoalbuminemia, salt retention, disorder of hemostasis, hyperlipidemia and increased susceptibility to inf...
متن کاملMinimal change disease and focal segmental glomerulosclerosis.
Minimal change disease (MCD) accounts for greater than 90% of cases of nephrotic syndrome in children. In adults, MCD accounts for 10–15% of nephrotic syndrome. FSGS is increasing in incidence in adults and children, and in the USA, in adults, is now the most common cause of nephrotic syndrome w1,2x. MCD shows normal glomeruli by light microscopy. Associated acute interstitial nephritis suggest...
متن کاملMisdiagnosing renal amyloidosis as minimal change disease.
BACKGROUND Minimal change disease (MCD) accounts for 10-15% of all adult nephrotic syndrome cases and requires normal renal histology by light microscopy and negative immunohistology. Foot process effacement on electron microscopy (EM) is typical. Renal amyloid deposits demonstrate pathognomonic green birefringence when viewed under cross-polarized light after staining tissue with Congo red (CR...
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ژورنال
عنوان ژورنال: Kidney International
سال: 1988
ISSN: 0085-2538
DOI: 10.1038/ki.1988.197