Table 3.
Patient | Days after Tx | Indication for Biopsy | UP | GD | Light Microscopy |
IF |
Electron Microscopy |
Stage | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Glomeruli | Spikes | Deposits | F/TA (%) | IgG | C3 | IgA | IgM | C1q | SEDD | FPF/FPE (%) | TRI | ||||||
1 | 6 | Protocola | Neg | No | 17 | No | Yes | 0 | 2+ | 1+ | 0 | 0 | 0 | 1+ | 40 | 0 | 1 |
2 | 13 | GD | <0.5 | Yes | 3 | No | No | 0 | 1 to 2+ | 0 | 0 | 0 | 0 | 1+ | 95 | 0 | 1 |
3 | 11 | GD | 2+ | Yes | 18 | No | No | 0 | 2 to 3+ | 0 to 1+ | 0 | 0 | 0 | ND | ND | ND | 1 |
4 | 19 | GD | 3+ | Yes | 13 | No | Yes | 15 | 1+ | 1+ | 0 | 1+ | 0 | ND | ND | ND | 1 |
5 | 19 | GD | 380 mg | Yes | 17 | No | No | <5 | 2+ | 0 | 0 | 0 | 0 | ND | ND | ND | 1 |
6 | 53 | GD | 2+ | Yes | 24 | No | No | <5 | 3+ | 0+ | 0 | 0 | 0 | ND | ND | ND | 1 |
7 | 104 | GD | Trace | Yes | 5 | Yes | No | 50 | 2 to 3+ | 0 to 1+ | 0 | 0 | 0 | 3+ | 90 | 0 | 1 |
8 | 414 | GD/NRP | NRP | Yes | 12 | Yes | Yes | 15 | 3+ | 1+ | 0 | 0 | 0 | ND | ND | ND | 2 |
9 | 599 | GD/NRP | NRP | Yes | 12 | No | Yes | <5 | 3+ | 1+ | 0 | 0 | 0 | 1+ | 100 | 0 | 1 |
10 | 674 | NRP | NRP | No | 5 | Yes | Yes | ND | 3+ | 1+ | 0 | 0 | 0 | 2+ | 100 | 0 | 2 |
11 | 721 | GD/NRP | NRP | Yes | 9 | Yes | Yes | 20 | 3+ | 1 to 2+ | 0 | 0 | 0 | ND | ND | ND | 2 |
12 | 963 | NRP | NRP | No | 35 | Yes | No | 15 | 2 to 3+ | 1+ | 0 | 0 | 0 | 1 to 2+ | 95 | 0 | 2 |
13b | 1203 | NRP | NRP | No | 14 | Yes | Yes | 15 | 0 | 0 | 0 | 0 to 1+ | 0 | 1 | 30 | 0 | 2 |
14 | 3545 | NRP | NRP | No | 14 | No | Yes | 15 | 3+ | 1+ | 0 | 0 | 0 | 1+ | 90 | 0 | 2 |
15 | 5497 | NRP | NRP | No | 12 | Yes | Yes | 10 | 2 to 3+ | 1+ | 0 | 0 | 0 | 1 | Mild | 0 | 2 |
FPF/FPE, foot process fusion/foot process effacement; F/TA, fibrosis and tubular atrophy; GD, graft dysfunction; ND, not done; NRP, nephrotic-range proteinuria; SEDD, subepithelial dense deposits; TRI, tubuloreticular inclusions; Tx, transplantation; UP, urinary protein.
Patient underwent ABO-incompatible renal transplantation.
IF negative probably because of the segmental nature of the MN in this patient, which was also noted in his native biopsy.