We treated a 54-year-old woman who was suffering from membranoproliferative
glomerulonephritis associated with a complete type of hydatidiform mole. T
he renal manifestations were proteinuria and hematuria. A renal biopsy, per
formed before gynecologic management, disclosed focal and segmental subendo
thelial deposits with a proliferation of the mesangial cell and showed irre
gularly thickened capillary loops by light and electronmicroscoy. Genralize
d edema, proteinuria and hematuria were completely recovered by suction and
curettage of the hydatidiform mole with prophylactic chemotherapy. The cli
nical manifestation of earlier presented 3 cases have been the nephrotic sy
ndrome. The common feature of them was a complete remission of the nephropa
thy after the removal of the hydatidiform mole. The relationship between th
e hydatidiform mole and glomerulonephritis remains unresolved at present. B
ut we concluded that the hydatidiform mole might be a cause of glomerulonep
hritis in this case.