Membranous Nephropathy and Lupus-Like Syndrome After Hematopoietic Cell Transplantation: A Case Report

    September 2010 in “ Journal of Medical Case Reports
    Kostas Stylianou, Stavros Stratakis, Vasiliki Mavroeidi, Ioannis Petrakis, Dimitris Xydakis, Eleftheria Vardaki, Spyros Stratigis, Kostas Perakis, Theodora Katsarou, Peggy Kanellou, Irene Xylouri, Constantina Petraki, Michael G. Alexandrakis, Eugene Daphnis
    Studysummary This case report documents a 57-year-old man with nephrotic syndrome linked to recurrent chronic graft-versus-host disease and lupus-like symptoms, with improvement after cyclosporin and steroids; however, he died later from leukemia relapse.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    A 57-year-old Caucasian man developed nephrotic syndrome and a lupus-like syndrome after hematopoietic cell transplantation, despite initial improvement with cyclosporin and steroids, he eventually died from leukemia relapse. The case highlighted that chronic graft-versus-host disease can mimic systemic lupus erythematosus, presenting with symptoms like pancytopenia, hair loss, and positive anti-DNA antibodies, emphasizing the complexity of managing nephrotic syndrome post-transplantation while balancing immunosuppression and graft versus leukemia effect.
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