Heavy-chain deposition disease: a morphological, immunofluorescence and ultrastructural assessment

Author: Rane Swapnil   Rana Seema   Mudrabettu Chetan   Jha Vivekananda   Joshi Kusum  

Publisher: Oxford University Press

ISSN: 2048-8505

Source: Clinical Kidney Journal, Vol.5, Iss.5, 2012-10, pp. : 383-389

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Abstract

Heavy-chain deposition disease (HCDD) is the least common of the monoclonal immunoglobulin deposition diseases with only 24 reported cases in English literature, including the present case. The rarity of this disease merits its documentation. We present a case of HCDD from our archival material, who presented with rapidly progressive renal failure and nephrotic syndrome and was found to have nodular glomerulosclerosis on renal biopsy which on immunofluorescence and electron microscopy confirmed HCDD of immunoglobulin G1 type without any light-chain deposition. We also present an in-depth literature review on HCDD.