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Heavy chain deposition disease

MedGen UID:
232591
Concept ID:
C1333947
Neoplastic Process
Synonyms: HCDD; Heavy Chain Deposition Disease; heavy chain deposition disease
 
Monarch Initiative: MONDO:0019728
Orphanet: ORPHA93556

Definition

A rare non-amyloid monoclonal immunoglobulin deposition disease characterized by production of monoclonal immunoglobulins with truncated heavy chains and no detectable light chains, which are deposited in tissues and cause organ dysfunction, but do not form amyloid beta-pleated sheets or contain an amyloid P component. The condition frequently occurs in association with multiple myeloma. Patients most commonly present with renal involvement (manifesting as hypertension, progressive renal dysfunction, anemia, and nephrotic syndrome with microhematuria), but other organs (such as the liver or skin) may also be affected. Production of IgG1 or IgG3 isotypes results in hypercomplementemia. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHeavy chain deposition disease

Professional guidelines

PubMed

Hogan JJ, Markowitz GS
Kidney Int 2017 Feb;91(2):272-274. doi: 10.1016/j.kint.2016.10.022. PMID: 28087006
Suzuki K
Intern Med 2005 Sep;44(9):915-6. doi: 10.2169/internalmedicine.44.915. PMID: 16258202
Sanders PW
Curr Opin Nephrol Hypertens 2005 Mar;14(2):97-103. doi: 10.1097/00041552-200503000-00003. PMID: 15687834

Recent clinical studies

Etiology

Zhang Y, Li X, Liang D, Xu F, Liang S, Zhu X, Zheng N, Huang X, Liu Z, Zeng C
Am J Kidney Dis 2020 May;75(5):736-743. Epub 2019 Nov 5 doi: 10.1053/j.ajkd.2019.08.013. PMID: 31699519
Bridoux F, Javaugue V, Bender S, Leroy F, Aucouturier P, Debiais-Delpech C, Goujon JM, Quellard N, Bonaud A, Clavel M, Trouillas P, Di Meo F, Gombert JM, Fermand JP, Jaccard A, Cogné M, Touchard G, Sirac C
Kidney Int 2017 Feb;91(2):423-434. Epub 2016 Oct 20 doi: 10.1016/j.kint.2016.09.004. PMID: 27773425
Masai R, Wakui H, Togashi M, Maki N, Ohtani H, Komatsuda A, Sawada K
Clin Nephrol 2009 Jan;71(1):9-20. doi: 10.5414/cnp71009. PMID: 19203545
Sanders PW
Curr Opin Nephrol Hypertens 2005 Mar;14(2):97-103. doi: 10.1097/00041552-200503000-00003. PMID: 15687834
Tan S, Pon K, Bargman J, Ghazarian D
J Cutan Med Surg 2003 Sep-Oct;7(5):390-4. Epub 2003 Sep 24 doi: 10.1007/s10227-002-0128-z. PMID: 14973644

Diagnosis

Shimamoto Y, Takahashi N, Katoh N, Matsui Y, Mochizuki Y, Ito M, Yazaki M, Kametani F, Kasuno K, Sekijima Y, Naiki H, Iwano M
BMC Nephrol 2023 Jun 26;24(1):187. doi: 10.1186/s12882-023-03207-0. PMID: 37365566Free PMC Article
Chen Q, Ye JB, Zhong Q
Iran J Kidney Dis 2021 Dec;15(6):457-460. PMID: 34930858
Turner M, Crawford A, Winterbottom C, Flossmann O, Alchi B, Soares M, Bhandary U
BMC Nephrol 2020 May 12;21(1):175. doi: 10.1186/s12882-020-01837-2. PMID: 32398029Free PMC Article
Zhang Y, Li X, Liang D, Xu F, Liang S, Zhu X, Zheng N, Huang X, Liu Z, Zeng C
Am J Kidney Dis 2020 May;75(5):736-743. Epub 2019 Nov 5 doi: 10.1053/j.ajkd.2019.08.013. PMID: 31699519
Oe Y, Soma J, Sato H, Ito S
Clin Exp Nephrol 2013 Dec;17(6):771-8. Epub 2013 May 8 doi: 10.1007/s10157-013-0812-x. PMID: 23652830

Therapy

Turner M, Crawford A, Winterbottom C, Flossmann O, Alchi B, Soares M, Bhandary U
BMC Nephrol 2020 May 12;21(1):175. doi: 10.1186/s12882-020-01837-2. PMID: 32398029Free PMC Article
Bridoux F, Javaugue V, Bender S, Leroy F, Aucouturier P, Debiais-Delpech C, Goujon JM, Quellard N, Bonaud A, Clavel M, Trouillas P, Di Meo F, Gombert JM, Fermand JP, Jaccard A, Cogné M, Touchard G, Sirac C
Kidney Int 2017 Feb;91(2):423-434. Epub 2016 Oct 20 doi: 10.1016/j.kint.2016.09.004. PMID: 27773425
Alexander MP, Nasr SH, Watson DC, Méndez GP, Rennke HG
Am J Kidney Dis 2011 Oct;58(4):621-5. doi: 10.1053/j.ajkd.2011.05.022. PMID: 21944962
Oe Y, Nakaya I, Yahata M, Sakuma T, Sato H, Soma J
Intern Med 2010;49(14):1411-5. Epub 2010 Jul 15 doi: 10.2169/internalmedicine.49.3499. PMID: 20647658
Sanders PW
Curr Opin Nephrol Hypertens 2005 Mar;14(2):97-103. doi: 10.1097/00041552-200503000-00003. PMID: 15687834

Prognosis

Rao Q, Xu R, Wan Q
J Int Med Res 2022 Mar;50(3):3000605221086428. doi: 10.1177/03000605221086428. PMID: 35301906Free PMC Article
Zhang Y, Li X, Liang D, Xu F, Liang S, Zhu X, Zheng N, Huang X, Liu Z, Zeng C
Am J Kidney Dis 2020 May;75(5):736-743. Epub 2019 Nov 5 doi: 10.1053/j.ajkd.2019.08.013. PMID: 31699519
Bridoux F, Javaugue V, Bender S, Leroy F, Aucouturier P, Debiais-Delpech C, Goujon JM, Quellard N, Bonaud A, Clavel M, Trouillas P, Di Meo F, Gombert JM, Fermand JP, Jaccard A, Cogné M, Touchard G, Sirac C
Kidney Int 2017 Feb;91(2):423-434. Epub 2016 Oct 20 doi: 10.1016/j.kint.2016.09.004. PMID: 27773425
Alexander MP, Nasr SH, Watson DC, Méndez GP, Rennke HG
Am J Kidney Dis 2011 Oct;58(4):621-5. doi: 10.1053/j.ajkd.2011.05.022. PMID: 21944962
Oe Y, Nakaya I, Yahata M, Sakuma T, Sato H, Soma J
Intern Med 2010;49(14):1411-5. Epub 2010 Jul 15 doi: 10.2169/internalmedicine.49.3499. PMID: 20647658

Clinical prediction guides

Matsuura Y, Goto T, Tamayama Y, Nakamura Y, Oyama J, Ishioka H, Yoshikawa K, Nakaya I, Soma J
CEN Case Rep 2021 May;10(2):236-240. Epub 2020 Nov 6 doi: 10.1007/s13730-020-00550-1. PMID: 33156494Free PMC Article
Katsuno T, Mizuno S, Mabuchi M, Tsuboi N, Komatsuda A, Maruyama S
BMC Nephrol 2017 Jul 17;18(1):239. doi: 10.1186/s12882-017-0645-z. PMID: 28716013Free PMC Article
Oe Y, Nakaya I, Yahata M, Sakuma T, Sato H, Soma J
Intern Med 2010;49(14):1411-5. Epub 2010 Jul 15 doi: 10.2169/internalmedicine.49.3499. PMID: 20647658
Masai R, Wakui H, Togashi M, Maki N, Ohtani H, Komatsuda A, Sawada K
Clin Nephrol 2009 Jan;71(1):9-20. doi: 10.5414/cnp71009. PMID: 19203545
Husby G
Curr Opin Rheumatol 2000 Jan;12(1):65-70. doi: 10.1097/00002281-200001000-00011. PMID: 10647957

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