PMID- 24049277 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130919 LR - 20211021 IS - 0971-4065 (Print) IS - 1998-3662 (Electronic) IS - 0971-4065 (Linking) VI - 23 IP - 5 DP - 2013 Sep TI - An unusual cause of gross hematuria and renal dysfunction in a young male. PG - 371-4 LID - 10.4103/0971-4065.116322 [doi] AB - Monoclonal immunoglobulin deposition disease (MIDD) is an uncommon disease with a peak incidence between the 5(th) and 6(th) decades of life. It is characterized by non-fibrillar, Congo red negative deposition of monoclonal immunoglobulins in various organs, including in the kidneys. MIDD can be of three types depending on the composition of the deposits, and includes light chain deposition disease (LCDD), heavy chain deposition disease and light and heavy chain deposition disease, of which LCDD is the most common. Renal involvement is a universal finding in MIDD, and is in the form of renal insufficiency, microscopic hematuria and nephrotic range proteinuria. Gross hematuria is a rare occurrence. Renal biopsy usually shows nodular sclerosing glomerulopathy on light microscopy and diffuse linear staining of glomerular and tubular basement membrane on immunofluorescence microscopy. We report a young male who presented with rapidly progressive renal failure and gross hematuria and was diagnosed as LCDD with nodular glomerulopathy and crescents on renal biopsy. FAU - Rathi, M AU - Rathi M AD - Department of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. FAU - Ramachandran, R AU - Ramachandran R FAU - Kohli, H S AU - Kohli HS FAU - Nada, R AU - Nada R FAU - Jha, V AU - Jha V FAU - Sakhuja, V AU - Sakhuja V LA - eng PT - Case Reports PL - India TA - Indian J Nephrol JT - Indian journal of nephrology JID - 8914356 PMC - PMC3764715 OTO - NOTNLM OT - Monoclonal immunoglobulin deposition disease OT - multiple myeloma OT - rapidly progressive renal failure COIS- Conflict of Interest: None declared. EDAT- 2013/09/21 06:00 MHDA- 2013/09/21 06:01 PMCR- 2013/09/01 CRDT- 2013/09/20 06:00 PHST- 2013/09/20 06:00 [entrez] PHST- 2013/09/21 06:00 [pubmed] PHST- 2013/09/21 06:01 [medline] PHST- 2013/09/01 00:00 [pmc-release] AID - IJN-23-371 [pii] AID - 10.4103/0971-4065.116322 [doi] PST - ppublish SO - Indian J Nephrol. 2013 Sep;23(5):371-4. doi: 10.4103/0971-4065.116322.