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Journal of Clinical Pathology 2008;61:1133-1135; doi:10.1136/jcp.2008.056705
Copyright © 2008 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

CASE REPORTS

Acute post-streptococcal glomerulonephritis associated with prolonged hypocomplementaemia

D Payne1, P Houtman2 and M Browning1,3

1 Department of Immunology, Leicester Royal Infirmary, Leicester, UK
2 Children’s Hospital, Leicester Royal Infirmary, Leicester, UK
3 Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK

Correspondence to:
Mr D Payne, Department of Immunology, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK; daniel.payne{at}uhl-tr.nhs.uk

The case of a 6-year-old boy who presented with acute post-streptococcal glomerulonephritis is reported. C3 levels and complement alternative pathway activity remained low for at least 10 months after presentation, before returning to normal. There was no evidence of other renal disease. This case highlights that hypocomplementaemia in acute post-streptococcal glomerulonephritis may persist for several months, and that prolonged hypocomplementaemia does not exclude this diagnosis.


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