Jouvin M H, Nochy D, Bruneval P, Guettier C, Druet P, Bariéty J
Nephrologie. 1985;6(3):159-62.
This case report describes a patient with IgG lambda myeloma and vascular amyloidosis. Remarkable is the presence of mesangial granular deposits revealed by electron microscopy and positive with anti-IgG and anti-kappa anti-serum in an immunofluorescence study. Granular dense deposits were also found at the inner side of the basement membrane of the skin and were positive with anti-kappa anti-serum in immunofluorescence study. Because no L kappa q light chain proliferation could be demonstrated, the nature and significance of these kappa deposits are not clear.
本病例报告描述了一名患有IgG λ型骨髓瘤和血管淀粉样变性的患者。值得注意的是,电子显微镜检查发现系膜颗粒沉积物,免疫荧光研究显示其对抗IgG和抗κ抗血清呈阳性。在皮肤基底膜内侧也发现了颗粒状致密沉积物,免疫荧光研究显示其对抗κ抗血清呈阳性。由于未证实有L κ q轻链增殖,这些κ沉积物的性质和意义尚不清楚。