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Table 1 Clinicopathological characteristics of patients with paraproteinemia and renal damage

From: Clinicopathological characteristics of patients with paraproteinemia and renal damage

 

MGRS (n  =  42)

MM (n  =  14)

MGUS (n  =  19)

Renal monoIg (n  =  21)

P value

Male [n (%)]

25 (59.5)

9 (64.3)

12 (63.2)

8 (38.1)

0.292

Age (year)

57.0  ±  10.6

57.0  ±  7.0

53.2  ±  11.5

43.3  ±  15.9c,e,f

0.000

Renal disease duration before renal biopsy (months)

11.0  ±  11.1

6.3  ±  8.1

21.1  ±  44.1

26.8  ±  57.5

0.210

Hematuria [n (%)]

12 (27.9)

2 (15.4)d

10 (52.6)

12 (57.1)c,e

0.021

Proteinuria (g/24 h)

3.9  ±  2.7

3.3  ±  2.6

2.8  ±  2.6

1.8  ±  2.3c

0.026

Albumin (g/L)

27.7  ±  7.0a,b,c

36.6  ±  6.8

32.7  ±  7.4

35.3  ±  7.1

0.000

Hemoglobin (g/L)

113.6  ±  21.3

99.9  ±  16.7a,d,e

131.2  ±  16.3b

122.9  ±  19.6

0.000

SCr (μmol/L)

160.2  ±  205.8

359.1  ±  385.4a,d,e

102.6  ±  103.5

104.1  ±  60.2

0.002

eGFR (mL/min/1.73m2)

68.9  ±  39.7

45.3  ±  43.6a,d,e

77.7  ±  25.4

75.3  ±  34.9

0.054

Low serum C3 [n (%)]

15 (35.7)

3 (21.4)

1 (5.3)b,f

7 (33.3)

0.078

Abnornal serum κ/λ ratio [n (%)]

19 (45.2)

11 (78.6)a,d

8 (42.1)

0 (0)c,e,f

0.000

Abnormal urine κ/λ ratio [n (%)]

17 (42.5)

13 (92.9)a,d

5 (29.4)

0 (0)c,e,f

0.000

Abnormal sIFE [n (%)]

25 (61.0)a,b

13 (92.9)

19 (100)

0 (0)c,e,f

0.000

Abnormal uIFE [n (%)]

23 (76.7)

12 (85.7)

8 (53.3)

0 (0)c,e,f

0.002

κ sIFE, [n (%)]

9 (37.5)

7 (53.8)

11 (57.9)

0 (0)

0.371

κ uIFE, [n (%)]

5 (22.7)

6 (50.0)

4 (50.0)

0 (0)

0.183

Renal monotypic κ [n (%)]

16 (40.0)

7 (53.8)

0 (0)b,d

0 (0)c,e,f

0.000

Global glomerulosclerosis (%)

16.7  ±  18.0

17.9  ±  24.3

13.3  ±  10.1

15.1  ±  16.0

0.863

Segmental glomerulosclerosis (%)

0.8  ±  3.7

1.1  ±  1.9

1.2  ±  3.0

1.5  ±  2.9

0.223

Crescents (%)

4.1  ±  14.4

2.2  ±  3.8e

4.1  ±  7.6

13.3  ±  2.9

0.024

IFTA

1.29  ±  0.84

2.0  ±  1.18a,d

1.05  ±  0.71

1.29  ±  0.90

0.029

Interstitial inflammation

1.20  ±  0.90

2.00  ±  1.17a,d

1.11  ±  0.81

1.52  ±  1.03

0.000

  1. MGRS monoclonal gammopathy of renal significance; MM multiple myeloma; MGUS monoclonal gammopathy of undetermined significance; MIg monoclonal immunoglobulin; monoIg monotypic immunoglobulin; SCr serum creatinine; eGFR the estimated glomerular filtration rate; sIFE serum immunofixation electrophoresis; uIFE urine immunofixation electrophoresis; IFTA interstitial fibrosis/tubular atrophy
  2. aP  <  0.05, MGRS vs MM group
  3. bP  <  0.05, MGRS vs MGUS group
  4. cP  <  0.05, MGRS vs renal monoIg group
  5. dP  <  0.05, MM vs MGUS group
  6. eP  <  0.05, MM vs renal monoIg group
  7. fP  <  0.05, MGUS vs renal monoIg group