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Three kidneys, two diseases, one antibody?

Abstract : Anti-factor H antibody has been recently described as responsible for thrombotic microangiopathies (TMA) as well as membranoproliferative glomerulonephritis (MPGN). We report here, for the first time, the case of a woman with an anti-factor H antibody, who developed MPGN on native kidney, rapid recurrence on first graft, and TMA on second graft despite immunosuppressive therapy and plasma exchanges. This case supports the hypothesis that MPGN and TMA are closely linked by common pathogenic mechanisms and the need for complete exploration of complement pathway including factor H activity and autoantibody in front of any MPGN.
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Contributor : Hervé De Villemeur Connect in order to contact the contributor
Submitted on : Thursday, September 1, 2011 - 6:08:46 PM
Last modification on : Monday, May 30, 2022 - 4:16:03 PM

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Nolwenn Lorcy, Nathalie Rioux-Leclercq, Marie-Laure Lombard, Patrick Le Pogamp, Cécile Vigneau. Three kidneys, two diseases, one antibody?. Nephrology Dialysis Transplantation, Oxford University Press, 2011, 26 (11), pp.3811-3. ⟨10.1093/ndt/gfr436⟩. ⟨inserm-00618447⟩



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