AJKD Atlas of Renal Pathology: Light Chain Deposition Disease

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Presentation transcript:

AJKD Atlas of Renal Pathology: Light Chain Deposition Disease Agnes B. Fogo, MD, Mark A. Lusco, MD, Behzad Najafian, MD, Charles E. Alpers, MD  American Journal of Kidney Diseases  Volume 66, Issue 6, Pages e47-e48 (December 2015) DOI: 10.1053/j.ajkd.2015.10.007 Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 1 Light chain deposition disease can have a nodular glomerulosclerosis appearance, which bears a striking resemblance to diabetic nephropathy (Masson trichrome stain). Reproduced with permission from AJKD 32(6):e1. American Journal of Kidney Diseases 2015 66, e47-e48DOI: (10.1053/j.ajkd.2015.10.007) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 2 Light chain deposition disease which has κ light chain–restricted glomerular mesangial and capillary loop, and tubular basement membrane staining (immunofluorescence microscopy, κ light chain). Reproduced with permission from AJKD 32(6):e1. American Journal of Kidney Diseases 2015 66, e47-e48DOI: (10.1053/j.ajkd.2015.10.007) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 3 Light chain deposition disease has granular, amorphous deposits on the endothelial aspect of the glomerular basement membrane (electron microscopy). Reproduced with permission from AJKD 32(6):e1. American Journal of Kidney Diseases 2015 66, e47-e48DOI: (10.1053/j.ajkd.2015.10.007) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 4 Light chain deposition disease has granular, amorphous deposits on the endothelial aspect of the glomerular basement membrane (electron microscopy). Reproduced with permission from AJKD 32(6):e1. American Journal of Kidney Diseases 2015 66, e47-e48DOI: (10.1053/j.ajkd.2015.10.007) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 5 Light chain deposition disease has granular, amorphous deposits on the outer aspect of the tubular basement membrane (electron microscopy). Reproduced with permission from AJKD 32(6):e1. American Journal of Kidney Diseases 2015 66, e47-e48DOI: (10.1053/j.ajkd.2015.10.007) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions