
- Published: January 26, 2018
- By: Md Shahrier Amin, MD and Arkana Author
- Tags: Acute kidney injury, LCDD, Light chain deposition disease, M-spike, MIDD, Monoclonal gammopathy of renal significance, Monoclonal immunoglobulin deposition disease, Proteinuria
An otherwise asymptomatic 65-year-old man presents for medical evaluation after 15 years of not seeing a physician. He was noted to have an abnormal D-dimer test and was referred for further evaluation to the emergency department where his serum creatinine was found to be 5 mg/dL. Urinalysis showed 2+ proteinuria and 3+ blood. A renal biopsy was ordered. The images are characteristic findings of which of the following: 1. Amyloidosis 2. Fibrillary Glomerulopathy 3. Monoclonal immunoglobulin deposition disease 4. Dense Deposit Disease 5. Lupus nephritis 6. Anti-brush border antibody disease Choice 3 - Monoclonal immunoglobulin deposition disease (MIDD) is characterized...