Two patients with immune complex diseases, one with IgA nephropathy an
d the other with systemic lupus erythematosus, were found to have pecu
liar membranogranular deposits in the glomeruli in addition to typical
immune complex deposits. There was no clinical indication of familial
lipidosis in either case. The deposits were very similar to those see
n in lecithin-cholesterol acyltransferase-deficient patients. The path
ogenetic role of lipid deposits in the glomerulus is discussed.