We report a previously undescribed ultrastructural calcification of gl
omerular immune complex depositions in a patient with lupus nephritis.
Such processes give rise to a distinctive ultrastructural calcified m
icrospheriol in electron-dense immune deposits, and were associated wi
th hypercalcemia and nephrocalcinosis. The cause of hypercalcemia in t
his patient was uncertain, but related to a granulomatous inflammation
and abscess of the breast, Whereas ultrastructural microcalcification
was associated with hypercalcemia, its distribution in the segmental
glomerular lesions suggests that an inflammatory process was contribut
ory, The clinical follow-up indicates that the microcalcifications of
immune complexes have not affected the outcome of nephritis and renal
function.