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==Other Diagnostic Studies==
==Other Diagnostic Studies==
A kidney biopsy may be helpful in the diagnosis of C4 glomerulopathy. Findings suggestive of C4 glomerulopathy include:
*Membranoproliferative glomerulonephritis, with mesangial and endocapillary hypercellularity.
*The glomerular capillary walls thickening.
*Periodic acid–Schiff stain finding of ribbonlike material on the glomerular basement membrane.
*Immunofluorescence microscopy indicates no glomerular staining for IgA, IgM, IgG, C3, C1q, kappa or lambda light chains.
*Electron microscopy is favorable for large subendothelial osmiophilic dense deposits lining the glomerular basement membrane.
*C4d  glomerular staining help as a marker for immune complex-mediated glomerulonephritis.
*Positive C4d can also assist as a marker for glomerulopathy resulting from activation of the Lectin pathway.


==References==
==References==

Revision as of 05:26, 31 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Ali Poyan Mehr, M.D. [2]; Associate Editor(s)-in-Chief: Olufunmilola Olubukola M.D.[3]

Overview

Other Diagnostic Studies

A kidney biopsy may be helpful in the diagnosis of C4 glomerulopathy. Findings suggestive of C4 glomerulopathy include:

  • Membranoproliferative glomerulonephritis, with mesangial and endocapillary hypercellularity.
  • The glomerular capillary walls thickening.
  • Periodic acid–Schiff stain finding of ribbonlike material on the glomerular basement membrane.
  • Immunofluorescence microscopy indicates no glomerular staining for IgA, IgM, IgG, C3, C1q, kappa or lambda light chains.
  • Electron microscopy is favorable for large subendothelial osmiophilic dense deposits lining the glomerular basement membrane.
  • C4d glomerular staining help as a marker for immune complex-mediated glomerulonephritis.
  • Positive C4d can also assist as a marker for glomerulopathy resulting from activation of the Lectin pathway.

References

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