How do you approach treatment for patients with proliferative glomerulonephritis with monoclonal IgG deposits (PGNMID) with end-stage renal disease who are considering kidney transplant?

Monoclonal gammopathy of renal significance includes a variety of renal pathologies:

1. MIDD (LCDD, LHCDD, HCDD).
2. Monoclonal immunotactoid glomerulonephritis or type 1 cryoglobulinemic glomerulonephritis.
3. Light chain proximal tubulopathy or crystal-storing histiocytosis.
4. C3 glomerulopathy with monoclon...