case_images: PMC10601865_01
case_images: PMC10601865_02
case_images: PMC10601865_03
case_images: Renal biopsy findings (PAS staining, medium magnification x100): prominent lobularization, intraductal cell proliferation, mesangial cell proliferation, and diffuse stromal hyperplasia are observed. Hyaline thrombi (arrow) are also scattered.
case_images: cnd-2023-0013-0001-531736_F01.jpg
case_images: PMC10601865_03_cnd-2023-0013-0001-531736_F01.jpg
case_images: F1
case_images:  Figures 1-5 shows the pathological findings of renal biopsy samples.
case_images: Renal biopsy findings (PAM staining, strong magnification x400): diffuse doubling, subendothelial deposits (arrows), and hyaline thrombi (asterisk) are observed.
case_images: cnd-2023-0013-0001-531736_F02.jpg
case_images: PMC10601865_03_cnd-2023-0013-0001-531736_F02.jpg
case_images: F2
case_images:  Figures 1-5 shows the pathological findings of renal biopsy samples.
case_images: Immunofluorescence findings: diffuse, loop-predominant, full-house EDD deposition is observed.
case_images: cnd-2023-0013-0001-531736_F03.jpg
case_images: PMC10601865_03_cnd-2023-0013-0001-531736_F03.jpg
case_images: F3
case_images:  Figures 1-5 shows the pathological findings of renal biopsy samples.
case_images: Immunofluorescence findings: No kappa/lambda light chain deposition is observed.
case_images: cnd-2023-0013-0001-531736_F04.jpg
case_images: PMC10601865_03_cnd-2023-0013-0001-531736_F04.jpg
case_images: F4
case_images:  Figures 1-5 shows the pathological findings of renal biopsy samples.
case_images: Electron microscopy of a renal biopsy. Specimen viewed under x20,000 magnification: Numerous EDD deposits are observed in the mesangial matrix and subendothelium (arrows). Inside is a fine fiber-like tubular structure, measuring 20-30 nm in diameter. These structures are considered to be CG based on their thickness and shape.
case_images: cnd-2023-0013-0001-531736_F05.jpg
case_images: PMC10601865_03_cnd-2023-0013-0001-531736_F05.jpg
case_images: F5
case_images:  Figures 1-5 shows the pathological findings of renal biopsy samples.
case_images: PMC10601865_04
case_images: PMC10601865_05
case_images: PMC10601865_06
case_images: The supernatant fluid from the serum samples for protein fractionation. Upper: turbid serum (before sedimentation) lower: after sedimentation: spikes were observed in the gamma fraction, as indicated by the arrow, in the turbid serum cooled from 37 C to 4 C. These spikes disappeared after centrifugation, indicating the presence of CG.
case_images: cnd-2023-0013-0001-531736_F06.jpg
case_images: PMC10601865_06_cnd-2023-0013-0001-531736_F06.jpg
case_images: F6
case_images: After sedimentation, the spike disappeared, and the presence of CG was confirmed (Fig. 6).
case_images: PMC10601865_07