From: TAFRO syndrome as a cause of glomerular microangiopathy: a case report and literature review
Case no./Ref. | Age/sex | UP | Alb (g/dL) | Cr (mg/dL) | CRP (mg/dL) | VEGF/IL-6 (pg/mL) | 1st Therapy/ response | 2nd Therapy/ response | Kidney biopsy findings | |||||||||
Thrombi | Endothelial swelling | Endocapillary proliferation | Mesangiolysis | Mesangial proliferation | Double contours of GBM | Glomerular Ig deposition by IF | Subendothelial lesions by EM | Electron dense deposits | Diagnosis by authors | |||||||||
1/ [4] | 38 / M | n.d. | 3 | 2.59 | 11.18 | 4420 / n.d. | PSL / good | - | n.d. | n.d. | n.d. | n.d. | Yes | Yes | Yes | n.d. | n.d. | MPGN-like |
2/ [5] | 55 / F | 0.54 (g/g・Cr) | 2.7 | 2.1 | 4.1 | 464 / 11.7 | Pulse steroid / good | - | n.d. | n.d. | n.d. | n.d. | Yes | Yes | Yes | n.d. | No | MPGN-like |
3/ [6] | 76 / F | 0.30 (g/day) | 1.2 | 3.02 | 16 | 1350 / 49.2 | PSL /good | - | n.d. | n.d. | Yes | n.d. | Yes | Yes | No | Yes | No | MPGN-like |
4/ [7] | 79 / F | 2.65 (g/g・Cr) | 2.4 | 1.85 | 3.9 | 15.6 / 3.76 | Pulse steroid, PE / bad | RTX / good | n.d. | n.d. | No | Yes | No | Yes | No | Yes | n.d. | TMA-like |
5/ [8] | 70 / M | 0.33 (g/day) | 2.5 | 1.28 | 9.85 | 126 / 33 | Pulse steroid / good | - | No | Yes | No | Yes | No | Yes | No | Yes | No | MPGN-like |
6/ [9] | 61 / F | n.d. | 2.8 | 2.14 | 23.12 | n.d. / 722.6 | Pulse steroid, TCZ, RTX / good | - | n.d. | Yes | n.d. | Yes | Yes | Yes | No | n.d. | n.d. | MPGN-like |
7/ [10] | 80 / F | 0.41 (g/day) | 2.8 | 1.17 | 7.3 | 454 / 21.6 | PSL /bad | TCZ / good | No | Yes | Yes | No | No | Yes | Yes | Yes | No | TMA-like |
8/ [11] | 51 / F | 0.52 (g/g・Cr) | 2.5 | 1.03 | 4.58 | 198 / 21.2 | Pulse steroid / good | - | n.d. | Yes | No | Yes | No | Yes | No | n.d. | n.d. | TMA-like |
9/ [12] | 84 / M | 0.30 (g/day) | 2.4 | 2.31 | 8.3 | 177 / 12.3 | PSL, PE /bad | TCZ / good | No | Yes | Yes | Yes | No | No | No | Yes | No | TMA-like |
10/ [13] | 54 / F | 3.2 (g/g・Cr) | 2.4 | 1.11 | 7 | n.d. / 8.2 | PSL /good | - | No | Yes | No | No | No | No | No | Yes | No | Endothelial injury |
our case | 48 / F | 1.57 (g/g・Cr) | 2.6 | 1.32 | 18.33 | 494 / 166 | Pulse steroid /bad | TCZ / good | No | Yes | Yes | Yes | No | Yes | No | Yes | No | TMA-like |