Title |
Eculizumab reversed severe distal ischemic syndrome and glomerulonephritis with isolated C3 deposits associated with anti-factor H autoantibodies: a case report
|
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Published in |
Clinical Rheumatology, March 2018
|
DOI | 10.1007/s10067-018-4058-6 |
Pubmed ID | |
Authors |
Samuel Deshayes, Nicolas Martin Silva, Valérie Chatelet, Sylvain Chantepie, Moglie Le Quintrec, François Comoz, Frank Bridoux, Marie-Agnès Dragon-Durey, Achille Aouba |
Abstract |
B-cell clones can produce a monoclonal immunoglobulin, which may be responsible for visceral involvements. Kidney involvement is frequent, affecting 20 to 50% of patients with multiple myeloma. One mechanism underlying this involvement is a dysregulation of the complement alternative pathway, leading to C3 glomerulopathies. We report a patient who had a multiple myeloma, C3 glomerulopathy related to factor H autoantibody, and digital ischemia, who was treated successfully with eculizumab, an anti-complement therapy, without any relapse in 2 years of follow-up. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Mexico | 3 | 14% |
United States | 2 | 9% |
Ukraine | 2 | 9% |
Maldives | 1 | 5% |
Chile | 1 | 5% |
Colombia | 1 | 5% |
India | 1 | 5% |
United Kingdom | 1 | 5% |
Ecuador | 1 | 5% |
Other | 1 | 5% |
Unknown | 8 | 36% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 13 | 59% |
Scientists | 4 | 18% |
Science communicators (journalists, bloggers, editors) | 3 | 14% |
Practitioners (doctors, other healthcare professionals) | 2 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 10 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 2 | 20% |
Lecturer | 1 | 10% |
Lecturer > Senior Lecturer | 1 | 10% |
Student > Doctoral Student | 1 | 10% |
Student > Ph. D. Student | 1 | 10% |
Other | 1 | 10% |
Unknown | 3 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 5 | 50% |
Nursing and Health Professions | 1 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 10% |
Unknown | 3 | 30% |