FAMILIAL INFANTILE NEPHROTIC SYNDROME WITH OCULAR ABNORMALITIES

被引:24
作者
GLASTRE, C [1 ]
COCHAT, P [1 ]
BOUVIER, R [1 ]
COLON, S [1 ]
COTTIN, X [1 ]
GIFFON, D [1 ]
WRIGHT, C [1 ]
DIJOUD, F [1 ]
DAVID, L [1 ]
机构
[1] HOP EDOUARD HERRIOT,UNITE NEPHROL PEDIAT,PAVILLON S,F-69437 LYONS 03,FRANCE
关键词
Cataract; Glomerular basement membrane; Infantile nephrotic syndrome; Miosis;
D O I
10.1007/BF00862514
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Two siblings born from consanguineous parents experienced infantile nephrotic syndrome with ocular and neurological abnormalities; the boy also had a micropenis; both patients died before age 1 year. An initial renal biopsy followed by a two-step binephrectomy allowed good histological assessment of disease progression in one patient. The progression of the lesions was characterized by mesangial involvement, then an extensive extracapillary proliferation and tubular dilatations with a high mitotic activity of the epithelium and nuclei of unequal size. The main features involved major ultrastructural changes of the glomerular basement membrane. These two patients may represent a new disease entity or a severe form of diffuse mesangial sclerosis, with autosomal recessive inheritance. © 1990 IPNA.
引用
收藏
页码:340 / 342
页数:3
相关论文
共 12 条
[1]  
Martul E.V., Cuesta M.G., Churg J., Histopathologic variability of the congenital nephrotic syndrome, Clin Nephrol, 28, pp. 161-168, (1987)
[2]  
Barakat A.Y., Khoury L.A., Allam C.K., Najjar S.S., Diffuse mesangial sclerosis and ocular abnormalities in two siblings, Int J Pediatr Nephrol, 3, pp. 33-35, (1982)
[3]  
Schneller M., Braga S.E., Moser H., Zimmermann A., Oetliker O., Congenital nephrotic syndrome: clinicopathological heterogeneity and prenatal diagnosis, Clin Nephrol, 19, pp. 243-249, (1983)
[4]  
Shapiro L.R., Duncan P.A., Farnsworth P.B., Lefkowitz M., Congenital microcephaly, hiatus hernia and nephrotic syndrome: an autosomal recessive syndrome, Birth Defects, 12, pp. 275-278, (1976)
[5]  
Kaplan B.S., Bureau M.A., Drummond K.N., The nephrotic syndrome in the first year of life: is a pathologic classification possible?, J Pediatr, 85, pp. 615-621, (1974)
[6]  
Habib R., Bois E., Hétérogénéité des syndromes néphrotiques à début précoce du nourrisson (syndrome néphrotique “infantile”), Helv Paediatr Acta, 28, pp. 91-107, (1973)
[7]  
Sibley R.K., Mahan J., Mauer S.M., Vernier R.L., A clinicopathologic study of forty eight infants with nephrotic syndrome, Kidney Int, 27, pp. 544-552, (1985)
[8]  
Gaudelus J., Leverger G., Rault G., Nathanson M., Giorno J.L., Boccon-Gibod L., Levy M., Broyer M., Association d'un syndrome néphrotique à début précoce et d'une microcephalie: à propos de 4 observations dans 2 familles, Arch Fr Pediatr, 41, pp. 409-415, (1984)
[9]  
Hallman N., Norio R., Rapola J., Congenital nephrotic syndrome, Nephron, 11, pp. 101-110, (1973)
[10]  
Habib R., Loirat C., Gubler M.C., Niaudet P., Bensman A., Levy M., Broyer M., The nephropathy associated with male pseudohermaphroditism and Wilms' tumor (Drash syndrome): a distinctive glomerular lesion-report of 10 cases, Clin Nephrol, 24, pp. 269-278, (1985)