دورية أكاديمية

C1q Nephropathy: The Unique Underrecognized Pathological Entity

التفاصيل البيبلوغرافية
العنوان: C1q Nephropathy: The Unique Underrecognized Pathological Entity
المؤلفون: Joe Devasahayam, Gowrishankar Erode-Singaravelu, Zeenat Bhat, Tony Oliver, Arul Chandran, Xu Zeng, Paramesh Dakshinesh, Unni Pillai
المصدر: Analytical Cellular Pathology, Vol 2015 (2015)
بيانات النشر: Wiley, 2015.
سنة النشر: 2015
المجموعة: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
LCC:Cytology
مصطلحات موضوعية: Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282, Cytology, QH573-671
الوصف: C1q nephropathy is a rare glomerular disease with characteristic mesangial C1q deposition noted on immunofluorescence microscopy. It is histologically defined and poorly understood. Light microscopic features are heterogeneous and comprise minimal change disease (MCD), focal segmental glomerulosclerosis (FSGS), and proliferative glomerulonephritis. Clinical presentation is also diverse, and ranges from asymptomatic hematuria or proteinuria to frank nephritic or nephrotic syndrome in both children and adults. Hypertension and renal insufficiency at the time of diagnosis are common findings. Optimal treatment is not clear and is usually guided by the underlying light microscopic lesion. Corticosteroids are the mainstay of treatment, with immunosuppressive agents reserved for steroid resistant cases. The presence of nephrotic syndrome and FSGS appear to predict adverse outcomes as opposed to favorable outcomes in those with MCD. Further research is needed to establish C1q nephropathy as a universally recognized distinct clinical entity. In this paper, we discuss the current understanding of pathogenesis, histopathology, clinical features, therapeutic options, and outcomes of C1q nephropathy.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2210-7177
2210-7185
Relation: https://doaj.org/toc/2210-7177; https://doaj.org/toc/2210-7185
DOI: 10.1155/2015/490413
URL الوصول: https://doaj.org/article/3525841287b64f308b8a54f41cd698bc
رقم الأكسشن: edsdoj.3525841287b64f308b8a54f41cd698bc
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22107177
22107185
DOI:10.1155/2015/490413