MEMBRANOUS NEPHROPATHY COMPLICATING ADENOLYMPHOMA OF THE PAROTID (WARTHINS TUMOR)

Membranous nephropathy has been described in association with many mal ignancies including various lymphomas. However, it has not been previo usly described as a complication of benign solid adenolymphoma of the parotid, also called Warthin's tumour, We describe a patient who prese nted with an adenolymphoma of the parotid, and developed a severe neph rotic syndrome due to membranous nephropathy 6 months after the paroti d swelling. The nephrotic syndrome resolved following parotidectomy an d a short course of immunosuppression with prednisolone and cyclophosp hamide. The possible pathophysiologic mechanisms are discussed.