PMID- 19863884 OWN - NLM STAT- MEDLINE DCOM- 20100113 LR - 20190608 IS - 0301-0430 (Print) IS - 0301-0430 (Linking) VI - 72 IP - 5 DP - 2009 Nov TI - Evolution of light chain deposition disease over 8 years. PG - 397-401 AB - A 44-year-old female was diagnosed with proteinuria due to nodular glomerulosclerosis secondary to light chain deposition disease (LCDD). After 6 years, deterioration of kidney function occurred and autologous stem cell transplantation was considered, but the patient refused specific therapies. The disease progressed slowly, over a period of 8 years reaching now chronic renal insufficiency stage 4 with a creatinine clearance of 20 ml/min, in spite of no specific therapy. This case, documented by repeated biopsies, demonstrates the very slow loss of kidney function, suggesting the possibility of conservative treatment strategies without taking the risks of chemotherapy or autologous stem cell transplantation, since no long term follow up data of these therapies are available for LCDD. FAU - Gerth, J AU - Gerth J AD - Department of Internal Medicine III of the Friedrich-Schiller-University Jena, Jena, Germany. FAU - Busch, M AU - Busch M FAU - Ott, U AU - Ott U FAU - Groene, H-J AU - Groene HJ FAU - Wolf, G AU - Wolf G LA - eng PT - Case Reports PT - Journal Article PL - Germany TA - Clin Nephrol JT - Clinical nephrology JID - 0364441 RN - 0 (Immunoglobulin Light Chains) SB - IM MH - Adult MH - Disease Progression MH - Female MH - Humans MH - Immunoglobulin Light Chains/*analysis MH - Kidney/pathology MH - Kidney Diseases/*immunology/pathology/therapy MH - Kidney Failure, Chronic/etiology EDAT- 2009/10/30 06:00 MHDA- 2010/01/14 06:00 CRDT- 2009/10/30 06:00 PHST- 2009/10/30 06:00 [entrez] PHST- 2009/10/30 06:00 [pubmed] PHST- 2010/01/14 06:00 [medline] AID - 6745 [pii] AID - 10.5414/cnp72397 [doi] PST - ppublish SO - Clin Nephrol. 2009 Nov;72(5):397-401. doi: 10.5414/cnp72397.