A case of kidney transplantation for complete C4 deficiency with recurrent IgM-monoclonal gammopathy of renal significance (MGRS) associated nephropathy

Yu Kijima,Tomokazu Shimizu,Shinya Kato,Kana Kano,Toshihide Horiuchi,Taiji Nozaki,Kazuya Omoto,Masashi Inui,Hiroshi Toma,Shoichi Iida,Toshio Takagi

Transplantation Reports（2023）

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摘要

•A patient with complete C4 deficiency who underwent kidney transplantation and suffered IgM monoclonal gammopathy of undetermined significance (IgM-MGUS) recurrence after the procedure.•His-retrieved autologous kidney biopsy from the initial examination showed that the primary disease was not MPGN but recurrent IgM-MGUS-associated nephropathy.•Dexamethasone, rituximab, and cyclophosphamide (DRC) were selected to treat IgM-MGUS.

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complete c4 deficiency,nephropathy,kidney transplantation,renal significance,igm-monoclonal

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