The frequency of incidental mesangial
IgA deposition and its clinicopathological features were investigated in patients with
minimal change nephrotic syndrome(MCNS). Mesangial
IgA deposition was present in 15/63 patients(23.8%), and co-deposition of
IgA and C3 was present in 10/63 patients(15.9%). The serum
IgA concentration was significantly higher in
IgA(+) patients than in
IgA(-) patients(341 +/- 79 mg/dl vs. 252 +/- 99 mg/dl, p = 0.034). The urinary red blood cell count tended to be higher in
IgA(+) patients than in
IgA(-) patients (12.8 +/- 24.9 vs. 5.0 +/- 7.9 counts/HPF, p = 0.58). Histologically, no significant differences were observed between
IgA(+) and
IgA(-) patients. After
steroid treatment. 14 patients with mesangial
IgA deposition showed complete remission and one patient had persistent
proteinuria. The microhematuria also disappeared after
steroid treatment in 13/15 patients (86.7%), although it reappeared in 6/13 patients(46%) during reduction of
steroid administration. The present study indicated that the incidental mesangial
IgA deposition was frequently observed in MCNS patients(23.8%). The phenomenon of mesangial
IgA deposition was related to the higher concentration of serum
IgA. However, no influence of mesangial
IgA deposition in MCNS patients was found on the post-treatment amount of
proteinuria, renal function and clinical outcome of MCNS.