Case report of glomerular histiocytosis associated with non-crystalline IgG-kappa paraproteinemia

Abstract Background Monoclonal gammopathy of renal significance (MGRS) represents a range of disease processes arising from monoclonal proteins depositing in the kidney. These deposits vary and can be broadly grouped as containing a substructure or being non-organised. Their clinical phenotype can i...

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Main Authors: Aditya Kishore, Susanna A. McRae, David Telio, Monica C. Beaulieu
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Nephrology
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Online Access:https://doi.org/10.1186/s12882-025-03986-8
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author Aditya Kishore
Susanna A. McRae
David Telio
Monica C. Beaulieu
author_facet Aditya Kishore
Susanna A. McRae
David Telio
Monica C. Beaulieu
author_sort Aditya Kishore
collection DOAJ
description Abstract Background Monoclonal gammopathy of renal significance (MGRS) represents a range of disease processes arising from monoclonal proteins depositing in the kidney. These deposits vary and can be broadly grouped as containing a substructure or being non-organised. Their clinical phenotype can include proteinuria, haematuria, kidney injury and tubulopathies resulting in electrolyte changes. Case presentation Crystal storing histiocytosis (CSH) is a rare form of MGRS that typically deposits in the interstitium but rarely in the glomerulus to cause progressive kidney disease. We report a case of a male with known monoclonal protein and progressive proteinuria, whose biopsy showed glomerular histiocytosis with non-crystallizing IgG kappa inclusions. Conclusion This case reviews an unusual case of a glomerular histiocytosis with non-crystallizing IgG kappa inclusions.
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spelling doaj-art-94409c5c3bd74dcf97ddf8cd8fb100d12025-02-09T12:16:51ZengBMCBMC Nephrology1471-23692025-02-012611610.1186/s12882-025-03986-8Case report of glomerular histiocytosis associated with non-crystalline IgG-kappa paraproteinemiaAditya Kishore0Susanna A. McRae1David Telio2Monica C. Beaulieu3Division of Nephrology, University of British ColumbiaDepartment of Pathology and Laboratory Medicine, Providence Health Care, St Paul’s HospitalDivision of Medical Oncology, Burnaby Hospital, Fraser Health AuthorityDivision of Nephrology, University of British ColumbiaAbstract Background Monoclonal gammopathy of renal significance (MGRS) represents a range of disease processes arising from monoclonal proteins depositing in the kidney. These deposits vary and can be broadly grouped as containing a substructure or being non-organised. Their clinical phenotype can include proteinuria, haematuria, kidney injury and tubulopathies resulting in electrolyte changes. Case presentation Crystal storing histiocytosis (CSH) is a rare form of MGRS that typically deposits in the interstitium but rarely in the glomerulus to cause progressive kidney disease. We report a case of a male with known monoclonal protein and progressive proteinuria, whose biopsy showed glomerular histiocytosis with non-crystallizing IgG kappa inclusions. Conclusion This case reviews an unusual case of a glomerular histiocytosis with non-crystallizing IgG kappa inclusions.https://doi.org/10.1186/s12882-025-03986-8Crystal storing histiocytosisGlomerular histiocytosisMonoclonal gammopathy of renal significance
spellingShingle Aditya Kishore
Susanna A. McRae
David Telio
Monica C. Beaulieu
Case report of glomerular histiocytosis associated with non-crystalline IgG-kappa paraproteinemia
BMC Nephrology
Crystal storing histiocytosis
Glomerular histiocytosis
Monoclonal gammopathy of renal significance
title Case report of glomerular histiocytosis associated with non-crystalline IgG-kappa paraproteinemia
title_full Case report of glomerular histiocytosis associated with non-crystalline IgG-kappa paraproteinemia
title_fullStr Case report of glomerular histiocytosis associated with non-crystalline IgG-kappa paraproteinemia
title_full_unstemmed Case report of glomerular histiocytosis associated with non-crystalline IgG-kappa paraproteinemia
title_short Case report of glomerular histiocytosis associated with non-crystalline IgG-kappa paraproteinemia
title_sort case report of glomerular histiocytosis associated with non crystalline igg kappa paraproteinemia
topic Crystal storing histiocytosis
Glomerular histiocytosis
Monoclonal gammopathy of renal significance
url https://doi.org/10.1186/s12882-025-03986-8
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