Source:http://linkedlifedata.com/resource/pubmed/id/11684793
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2001-10-30
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pubmed:abstractText |
We report two cases of nephrotic syndrome presenting 18 and 20 months after allogeneic stem cell transplantation (alloSCT) with chronic myelogenous leukemia. Both patients had acute and chronic graft-versus-host disease (GVHD) and renal biopsy findings of membranous glomerulopathy (MG). A review of the literature revealed 10 additional cases of immune-complex-mediated glomerular disease following alloSCT, 8 of which were diagnostic of MG. All patients showed evidence of acute or chronic GVHD. Patients typically presented with preserved renal function (mean creatinine 1.2 mg/dl) and full nephrotic syndrome including heavy proteinuria (mean 9.2 g/24 h), edema, hypoalbuminemia (mean 2.1 g/dl) and hypercholesterolemia (mean 472 mg/dl). Most patients showed stabilization of renal function and significant decreases in proteinuria when treated with steroids and/or cyclosporine. The close temporal association as well as evidence from murine models of GVHD support a pathogenetic association between GVHD and the development of MG.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0250-8095
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pubmed:author | |
pubmed:copyrightInfo |
Copyright 2001 S. Karger AG, Basel
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pubmed:issnType |
Print
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pubmed:volume |
21
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
351-6
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:11684793-Acute Disease,
pubmed-meshheading:11684793-Adult,
pubmed-meshheading:11684793-Chronic Disease,
pubmed-meshheading:11684793-Female,
pubmed-meshheading:11684793-Glomerulonephritis, Membranous,
pubmed-meshheading:11684793-Graft vs Host Disease,
pubmed-meshheading:11684793-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:11684793-Humans,
pubmed-meshheading:11684793-Immunosuppressive Agents,
pubmed-meshheading:11684793-Leukemia, Myelogenous, Chronic, BCR-ABL Positive,
pubmed-meshheading:11684793-Male,
pubmed-meshheading:11684793-Middle Aged,
pubmed-meshheading:11684793-Syndrome,
pubmed-meshheading:11684793-Transplantation, Homologous
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pubmed:articleTitle |
Membranous glomerulopathy associated with graft-versus-host disease following allogeneic stem cell transplantation. Report of 2 cases and review of the literature.
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pubmed:affiliation |
Division of Nephrology, Department of Medicine, Columbia University, New York-Presbyterian Hospital, New York, N.Y., USA. jlin11@partners.org
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pubmed:publicationType |
Journal Article,
Review,
Case Reports,
Research Support, Non-U.S. Gov't
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