PMID- 795301 OWN - NLM STAT- MEDLINE DCOM- 19770224 LR - 20190626 IS - 0002-9343 (Print) IS - 0002-9343 (Linking) VI - 61 IP - 6 DP - 1976 Dec TI - Monoclonal IgE with renal failure. PG - 957-62 AB - Only four cases of immunoglobulin E (IgE) monoclonal "gammapathies" have been reported previously. Discussed here is a 57 year old man who presented with hypertension and the nephrotic syndrome. A monoclonal IgE-kappa component (0.6 mg/ml), which did not appear as an M spike on protein electrophoresis, was demonstrated by immunoelectrophoresis in the serum and urine. The patient's condition deteriorated rapidly due to renal failure, and he died five weeks after the diagnosis was made. Pathologic examination disclosed extensive glomerular lesions, but amyloid was not detected by light or electron microscopy. The possible relationship between the monoclonal gammapathy and kidney impairment is discussed. FAU - Vladutiu, A O AU - Vladutiu AO FAU - Kohli, R K AU - Kohli RK FAU - Prezyna, A P AU - Prezyna AP LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am J Med JT - The American journal of medicine JID - 0267200 RN - 37341-29-0 (Immunoglobulin E) RN - Q41OR9510P (Melphalan) RN - VB0R961HZT (Prednisone) SB - IM MH - Acute Kidney Injury/*complications/drug therapy/pathology MH - Fluorescent Antibody Technique MH - Humans MH - Hypergammaglobulinemia/*complications MH - Hypertension/*complications MH - Immunoglobulin E/*analysis MH - Kidney/pathology MH - Male MH - Melphalan/therapeutic use MH - Middle Aged MH - Prednisone/therapeutic use EDAT- 1976/12/01 00:00 MHDA- 1976/12/01 00:01 CRDT- 1976/12/01 00:00 PHST- 1976/12/01 00:00 [pubmed] PHST- 1976/12/01 00:01 [medline] PHST- 1976/12/01 00:00 [entrez] AID - 0002-9343(76)90422-8 [pii] AID - 10.1016/0002-9343(76)90422-8 [doi] PST - ppublish SO - Am J Med. 1976 Dec;61(6):957-62. doi: 10.1016/0002-9343(76)90422-8.