PMID- 30101913 OWN - NLM STAT- MEDLINE DCOM- 20190208 LR - 20200225 IS - 1349-7235 (Electronic) IS - 0918-2918 (Print) IS - 0918-2918 (Linking) VI - 57 IP - 24 DP - 2018 Dec 15 TI - Lenalidomide as a Beneficial Treatment Option for Renal Impairment Caused by Light Chain Deposition Disease. PG - 3651-3657 LID - 10.2169/internalmedicine.1018-18 [doi] AB - Light chain deposition disease (LCDD) is a rare systemic disorder caused by the deposition of light chain immunoglobulins, which often results in renal impairment associated with either nephrotic syndrome or asymptomatic proteinuria. B-cell neoplasms, such as multiple myeloma and lymphoproliferative disorders, are well-known underlying diseases in LCDD. Some chemotherapy regimens have been reported, but both evidence-based treatment and management for LCDD have yet to be established. We herein report three cases of LCDD treated with lenalidomide-based therapy, resulting in hematologic responses accompanied by a significant reduction in proteinuria and improvement in the renal function. We recommend lenalidomide-based therapy for renal impairment caused by LCDD. FAU - Kimura, Satoshi AU - Kimura S AD - Department of Hematology, Fukushima Medical University, Japan. FAU - Ohkawara, Hiroshi AU - Ohkawara H AD - Department of Hematology, Fukushima Medical University, Japan. FAU - Ogawa, Kazuei AU - Ogawa K AD - Department of Hematology, Fukushima Medical University, Japan. FAU - Tanaka, Mizuko AU - Tanaka M AD - Department of Diagnostic Pathology, Fukushima Medical University, Japan. FAU - Sano, Takahiro AU - Sano T AD - Department of Hematology, Fukushima Medical University, Japan. FAU - Harada-Shirado, Kayo AU - Harada-Shirado K AD - Department of Hematology, Fukushima Medical University, Japan. FAU - Takahashi, Hiroshi AU - Takahashi H AD - Department of Hematology, Fukushima Medical University, Japan. FAU - Ueda, Koki AU - Ueda K AD - Department of Hematology, Fukushima Medical University, Japan. FAU - Shichishima-Nakamura, Akiko AU - Shichishima-Nakamura A AD - Department of Hematology, Fukushima Medical University, Japan. FAU - Matsumoto, Hayato AU - Matsumoto H AD - Department of Hematology, Fukushima Medical University, Japan. FAU - Ikeda, Kazuhiko AU - Ikeda K AD - Department of Blood Transfusion and Transplantation Immunology, Fukushima Medical University, Japan. FAU - Kazama, Junichiro James AU - Kazama JJ AD - Department of Nephrology and Hypertension, Fukushima Medical University, Japan. FAU - Hashimoto, Yuko AU - Hashimoto Y AD - Department of Diagnostic Pathology, Fukushima Medical University, Japan. FAU - Ikezoe, Takayuki AU - Ikezoe T AD - Department of Hematology, Fukushima Medical University, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20180810 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (Immunoglobulin Light Chains) RN - 0 (Immunologic Factors) RN - F0P408N6V4 (Lenalidomide) SB - IM MH - Aged MH - Humans MH - *Immunoglobulin Light Chains MH - Immunologic Factors/*therapeutic use MH - Lenalidomide/*therapeutic use MH - Male MH - Paraproteinemias/*complications MH - Proteinuria/drug therapy MH - Renal Insufficiency/*drug therapy/*etiology PMC - PMC6355407 OTO - NOTNLM OT - lenalidomide OT - light chain deposition disease OT - nephrotic syndrome EDAT- 2018/08/14 06:00 MHDA- 2019/02/09 06:00 PMCR- 2018/12/15 CRDT- 2018/08/14 06:00 PHST- 2018/08/14 06:00 [pubmed] PHST- 2019/02/09 06:00 [medline] PHST- 2018/08/14 06:00 [entrez] PHST- 2018/12/15 00:00 [pmc-release] AID - 10.2169/internalmedicine.1018-18 [doi] PST - ppublish SO - Intern Med. 2018 Dec 15;57(24):3651-3657. doi: 10.2169/internalmedicine.1018-18. Epub 2018 Aug 10.