Immune Complex (IC) Disease (granular staining)

Renal-Limited Diseases

  • Infection-Related GN
    • (Staph & Strep; ↓ C3, ± ASLO)
  • Membranoproliferative GN (MPGN) (↓ C3)
  • Fibrillary and immunotactoid GN (normal C3/C4)
  • IgA nephropathy (normal C3, ±↑ IgA)
    • (NEJM 2013;368:2402; CJASN 2017;12:677)

Systemic Diseases

  • SLE (CJASN 2017;12:825)
    • (⊕ ANA, ⊕ anti-dsDNA, ⊕ anti-Sm, ↓ C3, ↓ C4)
  • Cryoglobulinemia
    • (⊕ cryocrit, ⊕ RF, ⊕ HCV, SPEP, ↓ C3, ↓ C4)
  • Endocarditis
    • (fever, ⊕ BCx, valvular disease, ↓ C3)
  • Henoch-Schönlein purpura