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Image Based Question – 74454

Question

Which of the following is the FITC for IgG-stained kidney specimen. What is this suggestive of?

A. Buerger’s disease

B. Goodpasture’s syndrome

C. Membranous glomerulonephritis

D. Systemic lupus erythematosus

 

Show Answer

Correct Answer » C

Explanation

Ans: C. Membranous glomerulonephritis

(Ref Robbins 9Ie p915-917; Harrison 19Ie p1843)

  • The immunofluorescence above is showing granular IgG deposits along the glomerular basement membrane seen in membranous glomerulonephritis.

Membranous Glomerulonephritis:

  • Basement membrane material is laid clown between these deposits, appearing as irregular spikes protruding from the GBM.
  • Immunofluorescence microscopy demonstrates that the granular deposits contain both immunoglobulins and complement
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