Abstract
Paraproteinemia-associated kidney diseases are complex disorders that can affect every segment of the nephron. These diseases result from deposition of monoclonal immunoglobulins or monoclonal immunoglobulin fragments that include free heavy chains and free light chains. Kidney damage from deposition of monoclonal free light chains occurs most commonly and is therefore the major focus of this review. Production, renal handling, and clinical detection of immunoglobulin light chains are described, followed by descriptions of the major associated glomerular and tubular diseases. A discussion of Waldenström macroglobulinemia is also included in this chapter.
Original language | English (US) |
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Title of host publication | National Kidney Foundation's Primer on Kidney Diseases |
Publisher | Elsevier |
Pages | 274-282.e1 |
ISBN (Electronic) | 9780323477949 |
ISBN (Print) | 9780323510608 |
DOIs | |
State | Published - Jan 1 2017 |
Keywords
- acute kidney injury
- amyloidosis
- cast nephropathy
- Fanconi syndrome
- fibrillary glomerulonephritis
- immunoglobulin
- immunotactoid glomerulopathy
- light chain
- monoclonal immunoglobulin deposition disease
- multiple myeloma
- paraprotein
- proximal tubulopathy
- Waldenström macroglobulinemia
ASJC Scopus subject areas
- General Medicine