Abstract
Mesangial deposits of IgA, occurring in the absence of systemic disease known to be associated with nephritis, were detected by immunofluorescence microscopy in renal biopsy specimens from 25 patients (4% of 630 specimens studied). Associated deposits of C3 were always present, usually with IgG, but IgM deposits were less common and C1q was never seen. On light microscopy most of the biopsy specimens showed mesangial of focal nuclear proliferation though some were normal. Fifteen of the 25 patients presented with macroscopic haematuria, which was usually recurrent and preceded by a sore throat, whereas the remaining, and usually older, patients presented with persistent proteinuria and were more likely to have impaired renal function. This incidence of "mesangial IgA disease" is less than that reported by French workers. There was a significantly high incidence of familial renal disease among these patients. No abnormalities of serum complement or IgA concentration were found.
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- AYOUB E. M., VERNIER R. L. BENIGN RECURRENT HEMATURIA. Am J Dis Child. 1965 Mar;109:217–223. doi: 10.1001/archpedi.1965.02090020219004. [DOI] [PubMed] [Google Scholar]
- Berger J., Hinglais N. Les ddpôts intercapillaires d'IgA-IgG. J Urol Nephrol (Paris) 1968 Sep;74(9):694–695. [PubMed] [Google Scholar]
- Berger J., Yaneva H., Nabarra B., Barbanel C. Recurrence of mesangial deposition of IgA after renal transplantation. Kidney Int. 1975 Apr;7(4):232–241. doi: 10.1038/ki.1975.35. [DOI] [PubMed] [Google Scholar]
- Bodian M., Black J. A., Kobayashi N., Lake B. D., Shuler S. E. Recurrent haematuria in childhood. Q J Med. 1965 Oct;34(136):359–382. [PubMed] [Google Scholar]
- Day N. K., Geiger H., McLean R., Resnick J., Michael A., Good R. A. The association of respiratory infection, recurrent hematuria, and focal glomerulonephritis with activation of the complement system in the cold. J Clin Invest. 1973 Jul;52(7):1698–1706. doi: 10.1172/JCI107351. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Druet P., Bariety J., Bernard D., Lagrue G. Les glomérulopathies primitives a dépots mésangiaux d'IgA et D'IgG. Etude clinique et morphologiaue de 52 cas. Presse Med. 1970 Mar 14;78(13):583–587. [PubMed] [Google Scholar]
- Götze O., Müller-Eberhard H. J. The C3-activator system: an alternate pathway of complement activation. J Exp Med. 1971 Sep 1;134(3 Pt 2):90s–108s. [PubMed] [Google Scholar]
- Hendler E. D., Kashgarian M., Hayslett J. P. Clinicopathological correlations of primary haematuria. Lancet. 1972 Feb 26;1(7748):458–463. doi: 10.1016/s0140-6736(72)90121-3. [DOI] [PubMed] [Google Scholar]
- Hyman L. R., Wagnild J. P., Beirne G. J., Burkholder P. M. Immunoglobulin-A distribution in glomerular disease. Analysis of immunofluorescence localization and pathogenetic significance. Kidney Int. 1973 Jun;3(6):397–408. doi: 10.1038/ki.1973.62. [DOI] [PubMed] [Google Scholar]
- Labovitz E. D., Steinmuller S. R., Henderson L. W., McCurdy D. K., Goldberg M. "Benign" hematuria with focal glomerulitis in adults. Ann Intern Med. 1972 Nov;77(5):723–729. doi: 10.7326/0003-4819-77-5-723. [DOI] [PubMed] [Google Scholar]
- Lowance D. C., Mullins J. D., McPhaul J. J., Jr Immunoglobulin A (IgA) associated glomerulonephritis. Kidney Int. 1973 Mar;3(3):167–176. doi: 10.1038/ki.1973.25. [DOI] [PubMed] [Google Scholar]
- Mauer S. M., Sutherland D. E., Howard R. J., Fish A. J., Najarian J. S., Michael A. F. The glomerular mesangium. 3. Acute immune mesangial injury: a new model of glomerulonephritis. J Exp Med. 1973 Mar 1;137(3):553–570. doi: 10.1084/jem.137.3.553. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McConville J. M., McAdams A. J. Familial and nonfamilal benign hematuria. J Pediatr. 1966 Aug;69(2):207–214. doi: 10.1016/s0022-3476(66)80321-9. [DOI] [PubMed] [Google Scholar]
- McCoy R. C., Abramowsky C. R., Tisher C. C. IgA nephropathy. Am J Pathol. 1974 Jul;76(1):123–144. [PMC free article] [PubMed] [Google Scholar]
- Morel-Maroger L., Leathem A., Richet G. Glomerular abnormalities in nonsystemic diseases. Relationship between findings by light microscopy and immunofluorescence in 433 renal biopsy specimens. Am J Med. 1972 Aug;53(2):170–184. doi: 10.1016/0002-9343(72)90127-1. [DOI] [PubMed] [Google Scholar]
- Oldstone M. B., Dixon F. J. Immune complex disease in chronic viral infections. J Exp Med. 1971 Sep 1;134(3 Pt 2):32s–40s. [PubMed] [Google Scholar]
- Rapoport A., Davidson D. A., Deveber G. A., Ranking G. N., McLean C. R. Idiopathic focal proliferative nephritis associated with persistent hematuria and normal renal function. Ann Intern Med. 1970 Dec;73(6):921–928. doi: 10.7326/0003-4819-73-6-921. [DOI] [PubMed] [Google Scholar]
- Roy L. P., Fish A. J., Vernier R. L., Michael A. F. Recurrent macroscopic hematuria, focal nephritis, and mesangial deposition of immunoglobulin and complement. J Pediatr. 1973 May;82(5):767–772. doi: 10.1016/s0022-3476(73)80064-2. [DOI] [PubMed] [Google Scholar]
- Singer D. B., Hill L. L., Rosenberg H. S., Marshall J., Swenson R. Recurrent hematuria in childhood. N Engl J Med. 1968 Jul 4;279(1):7–12. doi: 10.1056/NEJM196807042790102. [DOI] [PubMed] [Google Scholar]
- Vernier R. L., Resnick J. S., Mauer S. M. Recurrent hematuria and focal glomerulonephritis. Kidney Int. 1975 Apr;7(4):224–231. doi: 10.1038/ki.1975.34. [DOI] [PubMed] [Google Scholar]
- de Werra P., Morel-Maroger L., Leroux-Robert C., Richet G. Glomérulites à dépôts d'IgA diffus dans le mésangium. Etude de 96 cas chez l'adulte. Schweiz Med Wochenschr. 1973 May 26;103(21):761–768. [PubMed] [Google Scholar]
- van de Putte L. B., de la Riviere G. B., van Breda Vriesman P. J. Recurrent or persistent hematuria. Sign of mesangial immune-complex deposition. N Engl J Med. 1974 May 23;290(21):1165–1170. doi: 10.1056/NEJM197405232902104. [DOI] [PubMed] [Google Scholar]