Type III cryoglobulinemia complicated by renal cortical necrosis

Am J Kidney Dis. 2005 May;45(5):e79-81. doi: 10.1053/j.ajkd.2005.01.043.

Abstract

Renal involvement is rare in patients with type III cryoglobulinemia. We report a case of renal cortical necrosis in a patient with type III cryoglobulinemia. Renal function improved partially after treatment with plasma exchange, steroids, and cyclophosphamide. Renal magnetic resonance imaging was a valuable tool in the evaluation of the extent of renal cortical necrosis and improvement in renal vascularization after treatment.

Publication types

  • Case Reports

MeSH terms

  • Arthritis, Rheumatoid / complications
  • Biopsy
  • Combined Modality Therapy
  • Cryoglobulinemia / classification
  • Cryoglobulinemia / complications*
  • Cryoglobulinemia / drug therapy
  • Cryoglobulinemia / therapy
  • Cyclophosphamide / administration & dosage
  • Cyclophosphamide / therapeutic use
  • Drug Therapy, Combination
  • Female
  • Graves Disease / complications
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / therapeutic use
  • Kidney Cortex Necrosis / diagnosis
  • Kidney Cortex Necrosis / etiology*
  • Kidney Cortex Necrosis / pathology
  • Magnetic Resonance Imaging
  • Methylprednisolone / administration & dosage
  • Methylprednisolone / therapeutic use
  • Middle Aged
  • Plasmapheresis
  • Prednisone / administration & dosage
  • Prednisone / therapeutic use
  • Urticaria / complications

Substances

  • Immunosuppressive Agents
  • Cyclophosphamide
  • Prednisone
  • Methylprednisolone