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Kidney International
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License: Elsevier Non-Commercial
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Kidney International
Article . 2012 . Peer-reviewed
License: Elsevier Non-Commercial
Data sources: Crossref
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The many faces of C3 glomerulopathy

Authors: Meleg-Smith, Suzanne;

The many faces of C3 glomerulopathy

Abstract

To the Editor: The recent article by Sethi et al., ‘Membranoproliferative glomerulonephritis and C3 glomerulopathy: resolving the confusion’, made me revisit a 12-year-old publication. In ‘Apparent progression of acute glomerulonephritis to dense deposit disease’ we described an 8-year-old boy with hypocomplementemia and meningococcemia. The first kidney biopsy showed glomeruli with abundant deposits of C3 and scarce deposits of IgG. Typical subepithelial humps were observed ultrastucturally, with only occasional subendothelial and intramembranous deposits. Two years later, a new biopsy was again positive for C3, and intramembranous, electron dense ribbon-like change, typical of dense-deposit disease (DDD), was present along the capillary loops, with only occasional subepithelial humps. In view of the clinical history of our patient, and the typical findings of DDD in the second biopsy, I suggest that the first biopsy, with its scarce subendothelial deposits and no membranoproliferative pattern, might also represent C3 glomerulopathy, similar to cases described by Fakhouri et al. and Servais et al. One might propose that our case illustrates that C3 glomerulopathy can present with variable faces in the same patient.

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Keywords

Glomerulonephritis, Glomerulonephritis, Membranoproliferative, Humans, Complement C3

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Average
Top 10%
Top 10%
hybrid