Clinical Rheumatology

, Volume 37, Issue 4, pp 1119–1122 | Cite as

Eculizumab reversed severe distal ischemic syndrome and glomerulonephritis with isolated C3 deposits associated with anti-factor H autoantibodies: a case report

  • Samuel Deshayes
  • Nicolas Martin Silva
  • Valérie Chatelet
  • Sylvain Chantepie
  • Moglie Le Quintrec
  • François Comoz
  • Frank Bridoux
  • Marie-Agnès Dragon-Durey
  • Achille Aouba
Case Based Review

Abstract

B-cell clones can produce a monoclonal immunoglobulin, which may be responsible for visceral involvements. Kidney involvement is frequent, affecting 20 to 50% of patients with multiple myeloma. One mechanism underlying this involvement is a dysregulation of the complement alternative pathway, leading to C3 glomerulopathies. We report a patient who had a multiple myeloma, C3 glomerulopathy related to factor H autoantibody, and digital ischemia, who was treated successfully with eculizumab, an anti-complement therapy, without any relapse in 2 years of follow-up.

Keywords

C3 glomerulopathies Digital ischemia Eculizumab Factor H antibody 

Notes

Compliance with ethical standards

Disclosures

None.

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Copyright information

© International League of Associations for Rheumatology (ILAR) 2018

Authors and Affiliations

  • Samuel Deshayes
    • 1
  • Nicolas Martin Silva
    • 1
  • Valérie Chatelet
    • 2
  • Sylvain Chantepie
    • 3
  • Moglie Le Quintrec
    • 4
  • François Comoz
    • 5
  • Frank Bridoux
    • 6
  • Marie-Agnès Dragon-Durey
    • 7
  • Achille Aouba
    • 1
  1. 1.Department of Internal Medicine and Clinical ImmunologyCHU Côte de Nacre—Université Basse NormandieCaenFrance
  2. 2.Department of NephrologyCHU de CaenCaenFrance
  3. 3.Department of Clinical HematologyCHU de CaenCaenFrance
  4. 4.Service de Transplantation et NéphrologieCHU de LapeyronieMontpellierFrance
  5. 5.Department of AnatomopathologyCHU de CaenCaenFrance
  6. 6.Department of Nephrology and Transplantation and Centre national de référence maladies rares: amylose AL et autres maladies à depôts d’immunoglobulines monoclonalesCHU de PoitiersPoitiersFrance
  7. 7.Department of Biological Immunology, Assistance Publique-Hôpitaux de ParisHôpital Européen Georges PompidouParisFrance

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