PMID- 1791875 OWN - NLM STAT- MEDLINE DCOM- 19920330 LR - 20051117 IS - 0300-2977 (Print) IS - 0300-2977 (Linking) VI - 39 IP - 3-4 DP - 1991 Oct TI - Light chain deposition disease without detectable light chains in serum or urine. Report of a case and review of the literature. PG - 142-7 AB - A patient presenting with a nephrotic syndrome and chronic renal failure caused by light chain deposition disease (LCDD) without detectable light chains in serum and urine is presented. Only a few patients with LCDD but without detectable light chains in serum and urine have hitherto been reported. The diagnosis was made by light-microscopic and immunofluorescent examination of a percutaneous renal biopsy. The histological differential diagnosis of LCDD includes diabetic glomerulosclerosis, renal amyloidosis and membranoproliferative glomerulonephritis. For the histological diagnosis of LCDD, immunofluorescence using anti-kappa and anti-lambda antisera is essential. Although renal involvement is a constant feature in LCDD, other sites of deposition of light chains have been reported. The absence of detectable light chains in serum or urine is discussed. FAU - van Ingen, G AU - van Ingen G AD - Department of Pathology, Free University Hospital, Amsterdam, The Netherlands. FAU - van Bronswijk, H AU - van Bronswijk H FAU - Meijer, C J AU - Meijer CJ FAU - Stel, H V AU - Stel HV LA - eng PT - Case Reports PT - Journal Article PT - Review PL - Netherlands TA - Neth J Med JT - The Netherlands journal of medicine JID - 0356133 RN - 0 (Immunoglobulin Light Chains) SB - IM MH - Biopsy MH - Fluorescent Antibody Technique MH - Humans MH - Hypergammaglobulinemia/*blood/complications/urine MH - Immunoglobulin Light Chains/*analysis/blood/urine MH - Kidney/chemistry/pathology/ultrastructure MH - Kidney Failure, Chronic/*etiology/pathology MH - Male MH - Microscopy, Electron MH - Middle Aged MH - Nephrotic Syndrome/*etiology/pathology RF - 13 EDAT- 1991/10/01 00:00 MHDA- 1991/10/01 00:01 CRDT- 1991/10/01 00:00 PHST- 1991/10/01 00:00 [pubmed] PHST- 1991/10/01 00:01 [medline] PHST- 1991/10/01 00:00 [entrez] PST - ppublish SO - Neth J Med. 1991 Oct;39(3-4):142-7.