The Presence of Renal IgG Deposits in Necrotizing Crescentic Glomerulonephritis Associated with ANCA Is Not Related to Worse Renal Clinical Outcomes

Details

Serval ID
serval:BIB_AFE2027F409A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The Presence of Renal IgG Deposits in Necrotizing Crescentic Glomerulonephritis Associated with ANCA Is Not Related to Worse Renal Clinical Outcomes
Journal
Kidney Dis (Basel)
Author(s)
Dudreuilh C., Fakhouri F., Vigneau C., Augusto J. F., Machet M. C., Rabot N., Chapal M., Charpy V., Barbet C., Buchler M., Halimi J. M., Gatault P.
ISSN
2296-9381 (Print)
ISSN-L
2296-9357
Publication state
Published
Issued date
03/2020
Volume
6
Number
2
Pages
98-108
Language
english
Notes
Dudreuilh, Caroline
Fakhouri, Fadi
Vigneau, Cecile
Augusto, Jean-Francois
Machet, Marie-Christine
Rabot, Nolwenn
Chapal, Marion
Charpy, Vianney
Barbet, Christelle
Buchler, Matthias
Halimi, Jean-Michel
Gatault, Philippe
eng
Switzerland
Kidney Dis (Basel). 2020 Mar;6(2):98-108. doi: 10.1159/000503969. Epub 2019 Nov 21.
Abstract
Introduction: Classical pauci-immune necrotizing crescentic glomerulonephritis (CGN) associated with antineutrophil cytoplasmic autoantibodies (ANCA) is characterized by the absence of renal immunoglobulin (Ig) deposits. However, IgG deposits can sometimes be present. We wanted to assess whether necrotizing CGN with IgG deposits is associated with a more severe presentation and outcome than necrotizing CGN without IgG deposits. Methods: Between November 2008 and August 2013, we retrospectively identified 158 patients from four centers who had necrotizing CGN due to primary ANCA-associated systemic vasculitis. Glomerular IgG deposits were found in 18 (11%) patients (group 1). For each patient in group 1, we selected 2 patients with classical pauci-immune necrotizing CGN with the nearest date of diagnosis in the same center (group 2, n = 36). We assessed clinical, biological, and pathological characteristics in both groups. Results: Baseline characteristics were similar in both groups, and most patients had ANCA-associated vasculitis with antibodies to myeloperoxidase (74%). Deposits displayed moderate to strong staining in 9 patients. As compared with group 2, group 1 exhibited a higher frequency of interstitial fibrosis/tubular atrophy lesions (p = 0.024) and lower frequency of acute tubular necrosis (p = 0.046). Nevertheless, after a mean follow-up of 30 and 26 months for group 1 and group 2, respectively, IgG deposits did not affect the renal prognosis or probability of relapse. Finally, the groups did not differ in renal or patient survival. Conclusions: IgG deposits, detected in 11% of patients with ANCA-associated necrotizing CGN, did not affect renal or patient outcomes.
Keywords
Antineutrophil cytoplasmic antibodies, Glomerulonephritis, Immunoglobulin G, Kidney, Systemic vasculitis
Pubmed
Create date
01/03/2022 11:17
Last modification date
02/03/2022 7:36
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