Case Report

Nephrotic Syndrome Secondary to Proliferative Glomerulonephritis with Monoclonal Immunoglobulin Deposits of Lambda Light Chain

Table 2

Treatment recommendation for PGNMID [9].

CKD stage I and II
Proteinuria (<1 g/day)
No evidence of progressive disease
CKD stage I and II with high grade proteinuria (>1 g/day)
Progressive disease
CKD stage III and IV
CKD stage V

(1) Symptomatic measures only
(2) Careful surveillance
(1) Chemotherapy,
  cyclophosphamide, and
  bortezomib
(2) HDM/ASCT
(3) Rituximab
(1) Kidney transplantation
(2) HDM/ASCT