The development of membranous glomerulonephritis in a patient with rheumatoid arthritis and Sjögren's syndrome.

A case of classical rheumatoid arthritis and Sjögren's syndrome complicated by the development of membranous glomerulopathy is presented. Circulating immune complexes were demonstrated. The possible relationship between glomerulitis and rheumatoid arthritis is discussed and the literature is reviewed. Chrysotherapy was instituted because of persistent synovitis. The patient responded and her proteinuria did not increase.