Minimal change disease associated with thyroid cancer: a case report

A patient complaining of edema of the face and lower extremities was admitted to the nephrology department for nephrotic syndrome. Renal biopsy revealed findings of minimal change disease (MCD). Thyroid ultrasound showed a hypoechoic 16 × 13 mm nodule in the right lobe, suspicious of malignancy. Lat...

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Main Authors: Xiaoyi Cai, Yuenv Wu, Qijun Wan, Xiuli Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1132259/full
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author Xiaoyi Cai
Xiaoyi Cai
Yuenv Wu
Qijun Wan
Xiuli Zhang
author_facet Xiaoyi Cai
Xiaoyi Cai
Yuenv Wu
Qijun Wan
Xiuli Zhang
author_sort Xiaoyi Cai
collection DOAJ
description A patient complaining of edema of the face and lower extremities was admitted to the nephrology department for nephrotic syndrome. Renal biopsy revealed findings of minimal change disease (MCD). Thyroid ultrasound showed a hypoechoic 16 × 13 mm nodule in the right lobe, suspicious of malignancy. Later, total thyroidectomy confirmed the diagnosis of papillary thyroid carcinoma (PTC). After surgery, MCD remitted rapidly and completely, strongly suggesting the diagnosis of MCD secondary to PTC. We report here the first adult case of the paraneoplastic finding of MCD secondary to PTC. Additionally, we discuss the possible role of the BRAF gene in the pathophysiology of PTC-associated MCD in this case and highlight the importance of tumor screening.
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spelling doaj.art-5e4f4cb2233e4a6bb138617cd05f7e622023-05-10T04:28:19ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-05-011010.3389/fmed.2023.11322591132259Minimal change disease associated with thyroid cancer: a case reportXiaoyi Cai0Xiaoyi Cai1Yuenv Wu2Qijun Wan3Xiuli Zhang4Department of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, ChinaMedical College, Shantou University, Shantou, ChinaÉcole Doctorale Interdisciplinaire Sciences-Santé, Université Claude Bernard Lyon 1, Lyon, FranceDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, ChinaDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, ChinaA patient complaining of edema of the face and lower extremities was admitted to the nephrology department for nephrotic syndrome. Renal biopsy revealed findings of minimal change disease (MCD). Thyroid ultrasound showed a hypoechoic 16 × 13 mm nodule in the right lobe, suspicious of malignancy. Later, total thyroidectomy confirmed the diagnosis of papillary thyroid carcinoma (PTC). After surgery, MCD remitted rapidly and completely, strongly suggesting the diagnosis of MCD secondary to PTC. We report here the first adult case of the paraneoplastic finding of MCD secondary to PTC. Additionally, we discuss the possible role of the BRAF gene in the pathophysiology of PTC-associated MCD in this case and highlight the importance of tumor screening.https://www.frontiersin.org/articles/10.3389/fmed.2023.1132259/fullminimal change diseasesecondary nephropathyparaneoplastic glomerulopathythyroid cancerBRAF
spellingShingle Xiaoyi Cai
Xiaoyi Cai
Yuenv Wu
Qijun Wan
Xiuli Zhang
Minimal change disease associated with thyroid cancer: a case report
Frontiers in Medicine
minimal change disease
secondary nephropathy
paraneoplastic glomerulopathy
thyroid cancer
BRAF
title Minimal change disease associated with thyroid cancer: a case report
title_full Minimal change disease associated with thyroid cancer: a case report
title_fullStr Minimal change disease associated with thyroid cancer: a case report
title_full_unstemmed Minimal change disease associated with thyroid cancer: a case report
title_short Minimal change disease associated with thyroid cancer: a case report
title_sort minimal change disease associated with thyroid cancer a case report
topic minimal change disease
secondary nephropathy
paraneoplastic glomerulopathy
thyroid cancer
BRAF
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1132259/full
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AT qijunwan minimalchangediseaseassociatedwiththyroidcanceracasereport
AT xiulizhang minimalchangediseaseassociatedwiththyroidcanceracasereport