# Monoclonal Gammopathy of Renal Significance With Preexisting Connective Tissue Disease: A Case Report

**Authors:** Huang Hin Chin, Ler Yi Lee, Thurgaashini Kethiravan, Hemlata Kumari Gnanasegaram, Nur Afrina Muhamad Hendri, Ban Chai Peng

PMC · DOI: 10.7759/cureus.66046 · Cureus · 2024-08-02

## TL;DR

This case report describes a patient with monoclonal gammopathy of renal significance and a preexisting connective tissue disease, highlighting successful treatment through a multidisciplinary approach.

## Contribution

The novelty lies in presenting a rare case of MGRS co-occurring with a connective tissue disease and demonstrating effective multidisciplinary management.

## Key findings

- A patient with MGRS and connective tissue disease was successfully treated with a multidisciplinary approach.
- Early detection and collaboration among specialists led to an accurate diagnosis and effective treatment.
- Renal biopsy and hematological studies were crucial in confirming the nephropathological diagnosis.

## Abstract

Monoclonal gammopathy of renal significance (MGRS) has lately drawn the interest of physicians and pathologists due to the ability of these monoclonal proteins to cause end-organ damage. The early detection of this monoclonal protein along with hematological studies and renal biopsy are essential to establish the associated nephropathological diagnosis. We herein describe the case of a patient with MGRS and the diagnostic entity involved. She responded well to the treatment as co-managed by a multidisciplinary team of nephrologists, hematologists, and renal pathologists.

## Linked entities

- **Diseases:** connective tissue disease (MONDO:0003900)

## Full-text entities

- **Diseases:** MGRS (MESH:D008998), end-organ damage (MESH:C564816), Connective Tissue Disease (MESH:D003240)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

6 references — full list in the complete paper: https://tomesphere.com/paper/PMC11366833/full.md

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Source: https://tomesphere.com/paper/PMC11366833