Bartter syndrome and focal segmental glomerulosclerosis: a possible link between two diseases

被引:32
作者
Su, IH
Frank, R
Gauthier, BG
Valderrama, E
Simon, DB
Lifton, RP
Trachtman, H
机构
[1] Albert Einstein Coll Med, N Shore LIJ Hlth Syst, Schneider Childrens Hosp, Div Pediat Nephrol, New Hyde Park, NY 11040 USA
[2] Albert Einstein Coll Med, N Shore LIJ Hlth Syst, Schneider Childrens Hosp, Dept Pathol, New Hyde Park, NY 11040 USA
[3] Yale Univ, Sch Med, Howard Hughes Med Inst, New Haven, CT 06510 USA
关键词
Bartter syndrome; focal segmental glomerulosclerosis;
D O I
10.1007/s004670050054
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We describe a patient with signs and symptoms of classic Bartter syndrome. The patient tested negative for all known genetic abnormalities associated with this tubular disorder. Proteinuria was found within 1 year after the diagnosis of Bartter syndrome. A renal biopsy performed 6 months later, when her kidney function was normal, revealed focal segmental glomerulosclerosis (FSGS). We propose a link between stimulation of the renin-angiotensin system and sclerotic changes in the glomerulus. This lesion may explain previous reports of kidney failure in patients with Bartter syndrome.
引用
收藏
页码:970 / 972
页数:3
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