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Membranous Nephropathy Associated With an Over-the-Counter Supplement
Nalen Naicker1, Mohanlal Mohanlal2, Mario Madruga1
1Internal Medicine, Orlando Regional Medical Center, Orlando, USA.
Alpha-lipoic acid (ALA) may trigger Neural epidermal growth factor-like 1-associated membranous nephropathy (NELL1-MN). Discontinuing ALA supplements led to complete proteinuria resolution in one patient, suggesting NELL1-MN is reversible without immunosuppression.
Area of Science:
- Nephrology
- Immunology
- Pharmacology
Background:
- Membranous nephropathy (MN) is a leading cause of nephrotic syndrome.
- Neural epidermal growth factor-like 1 (NELL1) is identified as a target antigen in MN.
- Alpha-lipoic acid (ALA), an antioxidant, is investigated for its potential role in triggering NELL1-MN.
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