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Title: | Monoclonal gammopathy of renal significance: Multidisciplinary approach to diagnosis and treatment | Authors: | Karam, Sabine Haidous, Mohammad Abou Dalle, Iman Dendooven, Amelie Moukalled, Nour Van Craenenbroeck, Amaryllis Bazarbachi, Ali SPRANGERS, Ben |
Issue Date: | 2023 | Publisher: | ELSEVIER SCIENCE INC | Source: | CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 183 (Art N° 103926) | Abstract: | Monoclonal gammopathy of renal significance (MGRS) is a hemato-nephrological term referring to a heterogeneous group of kidney disorders characterized by direct or indirect kidney injury caused by a monoclonal immunoglobulin (MIg) produced by a B cell or plasma cell clone that does not meet current hematologic criteria for therapy. MGRS-associated kidney diseases are diverse and can result in the development of end stage kidney disease (ESKD). The diagnosis is typically made by nephrologists through a kidney biopsy. Many distinct pathologies have been identified and they are classified based on the site or composition of the deposited Mig, or according to histological and ultrastructural findings. Therapy is directed towards the identified underlying clonal population and treatment decisions should be coordinated between hematologists and nephrologists in a multidisciplinary fashion, depend on the type of MGRS, the degree of kidney function impairment and the risk of progression to ESKD. | Notes: | Sprangers, B (corresponding author), Synaps Pk 1, B-3600 Genk, Belgium. ben.sprangers@zol.be |
Keywords: | MGRS;MGUS;Monoclonal protein;Chemotherapy | Document URI: | http://hdl.handle.net/1942/40367 | ISSN: | 1040-8428 | e-ISSN: | 1879-0461 | DOI: | 10.1016/j.critrevonc.2023.103926 | ISI #: | 000994566500001 | Rights: | 2023 Published by Elsevier B.V | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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