A case of Podocytic Infolding Glomerulopathy with SLE and literature review

Abstract Background Podocytic infolding glomerulopathy (PIG) is a rare pathological change which was characterized by the microspheres or microtubular structures in the thickened glomerular basement membrane (GBM). Only a few dozen cases have been reported worldwide so far. Here we present a case of...

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Main Authors: Xi Liu, Jieli Huang, Kun Zhang, Yangyang Niu, Yuting Liu, Chunli Cui, Chen Yu
Format: Article
Language:English
Published: BMC 2021-12-01
Series:BMC Nephrology
Subjects:
Online Access:https://doi.org/10.1186/s12882-021-02615-4
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author Xi Liu
Jieli Huang
Kun Zhang
Yangyang Niu
Yuting Liu
Chunli Cui
Chen Yu
author_facet Xi Liu
Jieli Huang
Kun Zhang
Yangyang Niu
Yuting Liu
Chunli Cui
Chen Yu
author_sort Xi Liu
collection DOAJ
description Abstract Background Podocytic infolding glomerulopathy (PIG) is a rare pathological change which was characterized by the microspheres or microtubular structures in the thickened glomerular basement membrane (GBM). Only a few dozen cases have been reported worldwide so far. Here we present a case of PIG with systemic lupus erythematosus. Case presentation A 61-year-old Chinese female was diagnosed with systemic lupus erythematosus with clinical manifestations of proteinuria, pleural effusion, seroperitoneum, anemia, leukopenia, thrombocytopenia, antinuclear antibody positive, and hypocomplementemia. She also had benign ovarian tumor and Epstein-Barr virus infection. Renal biopsy immunofluorescent staining showed IgM and C3 were granularly deposited along the capillary wall instead of typical “full house” features. Electron microscopy showed lots of microspheres structures were seen in the thickened GBM. Conclusion We present a case of PIG in a patient with systemic lupus erythematosus. The mechanisms of PIG are unknown, but may be associated with connective tissue disease and podocyte injury.
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spelling doaj.art-402fbb90f8b64d58893a8ff49de570f22022-12-21T21:43:31ZengBMCBMC Nephrology1471-23692021-12-012211410.1186/s12882-021-02615-4A case of Podocytic Infolding Glomerulopathy with SLE and literature reviewXi Liu0Jieli Huang1Kun Zhang2Yangyang Niu3Yuting Liu4Chunli Cui5Chen Yu6The Department of Nephrology, Tongji Hospital, Tongji University School of MedicineThe Department of Nephrology, Tongji Hospital, Tongji University School of MedicineThe Department of Nephrology, Tongji Hospital, Tongji University School of MedicineThe Department of Nephrology, Tongji Hospital, Tongji University School of MedicineThe Department of Nephrology, Tongji Hospital, Tongji University School of MedicineThe Department of Nephrology, Tongji Hospital, Tongji University School of MedicineThe Department of Nephrology, Tongji Hospital, Tongji University School of MedicineAbstract Background Podocytic infolding glomerulopathy (PIG) is a rare pathological change which was characterized by the microspheres or microtubular structures in the thickened glomerular basement membrane (GBM). Only a few dozen cases have been reported worldwide so far. Here we present a case of PIG with systemic lupus erythematosus. Case presentation A 61-year-old Chinese female was diagnosed with systemic lupus erythematosus with clinical manifestations of proteinuria, pleural effusion, seroperitoneum, anemia, leukopenia, thrombocytopenia, antinuclear antibody positive, and hypocomplementemia. She also had benign ovarian tumor and Epstein-Barr virus infection. Renal biopsy immunofluorescent staining showed IgM and C3 were granularly deposited along the capillary wall instead of typical “full house” features. Electron microscopy showed lots of microspheres structures were seen in the thickened GBM. Conclusion We present a case of PIG in a patient with systemic lupus erythematosus. The mechanisms of PIG are unknown, but may be associated with connective tissue disease and podocyte injury.https://doi.org/10.1186/s12882-021-02615-4Podocytic infolding glomerulopathyPodocytes,Systemic lupus erythematosusEB virusOvarian tumor
spellingShingle Xi Liu
Jieli Huang
Kun Zhang
Yangyang Niu
Yuting Liu
Chunli Cui
Chen Yu
A case of Podocytic Infolding Glomerulopathy with SLE and literature review
BMC Nephrology
Podocytic infolding glomerulopathy
Podocytes,Systemic lupus erythematosus
EB virus
Ovarian tumor
title A case of Podocytic Infolding Glomerulopathy with SLE and literature review
title_full A case of Podocytic Infolding Glomerulopathy with SLE and literature review
title_fullStr A case of Podocytic Infolding Glomerulopathy with SLE and literature review
title_full_unstemmed A case of Podocytic Infolding Glomerulopathy with SLE and literature review
title_short A case of Podocytic Infolding Glomerulopathy with SLE and literature review
title_sort case of podocytic infolding glomerulopathy with sle and literature review
topic Podocytic infolding glomerulopathy
Podocytes,Systemic lupus erythematosus
EB virus
Ovarian tumor
url https://doi.org/10.1186/s12882-021-02615-4
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