Idiopathic nodular glomerulosclerosis and differential diagnosis

ABSTRACT Introduction: Idiopathic nodular glomerulosclerosis (ING) is a condition that has a vasculopathic glomerular histological pattern. Case presentation: The authors present the case of a 44-year-old Hispanic smoker female with hypertension and peripheral arterial disease who presented nephro...

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Main Authors: Sergio Raúl Alvizures Solares, Héctor Raúl Ibarra-Sifuentes, María Guadalupe Ramírez Ramírez, Giovanna Yazmin Arteaga Muller, Jesús Cruz Valdez
Format: Article
Language:English
Published: Sociedade Brasileira de Nefrologia 2020-08-01
Series:Brazilian Journal of Nephrology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400484&tlng=en
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author Sergio Raúl Alvizures Solares
Héctor Raúl Ibarra-Sifuentes
María Guadalupe Ramírez Ramírez
Giovanna Yazmin Arteaga Muller
Jesús Cruz Valdez
author_facet Sergio Raúl Alvizures Solares
Héctor Raúl Ibarra-Sifuentes
María Guadalupe Ramírez Ramírez
Giovanna Yazmin Arteaga Muller
Jesús Cruz Valdez
author_sort Sergio Raúl Alvizures Solares
collection DOAJ
description ABSTRACT Introduction: Idiopathic nodular glomerulosclerosis (ING) is a condition that has a vasculopathic glomerular histological pattern. Case presentation: The authors present the case of a 44-year-old Hispanic smoker female with hypertension and peripheral arterial disease who presented nephrotic syndrome for 2 weeks. The patient was diagnosed with ING by percutaneous renal biopsy results, which showed global nodular mesangial matrix expansion, with linear staining accentuation of glomerular and tubular basement membrane for Immunoglobulin G (IgG) and albumin on immunofluorescence. Conclusions: ING is a rare disease with a poor renal prognosis and wide diagnostic approach; we highlight the importance of analyzing every piece of detail together to reach a definitive diagnosis.
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spelling doaj.art-5ee3dfa097dc4ed9a000f1247049f8192022-12-21T17:21:40ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-82392020-08-0142448448810.1590/2175-8239-jbn-2019-0229Idiopathic nodular glomerulosclerosis and differential diagnosisSergio Raúl Alvizures Solareshttps://orcid.org/0000-0003-0810-1853Héctor Raúl Ibarra-Sifuenteshttps://orcid.org/0000-0002-7258-360XMaría Guadalupe Ramírez Ramírezhttps://orcid.org/0000-0002-7909-5457Giovanna Yazmin Arteaga Mullerhttps://orcid.org/0000-0002-9617-6128Jesús Cruz Valdezhttps://orcid.org/0000-0003-0916-6464ABSTRACT Introduction: Idiopathic nodular glomerulosclerosis (ING) is a condition that has a vasculopathic glomerular histological pattern. Case presentation: The authors present the case of a 44-year-old Hispanic smoker female with hypertension and peripheral arterial disease who presented nephrotic syndrome for 2 weeks. The patient was diagnosed with ING by percutaneous renal biopsy results, which showed global nodular mesangial matrix expansion, with linear staining accentuation of glomerular and tubular basement membrane for Immunoglobulin G (IgG) and albumin on immunofluorescence. Conclusions: ING is a rare disease with a poor renal prognosis and wide diagnostic approach; we highlight the importance of analyzing every piece of detail together to reach a definitive diagnosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400484&tlng=enDiabetic NephropathiesBiopsyHypertensionTobacco Use Disorder
spellingShingle Sergio Raúl Alvizures Solares
Héctor Raúl Ibarra-Sifuentes
María Guadalupe Ramírez Ramírez
Giovanna Yazmin Arteaga Muller
Jesús Cruz Valdez
Idiopathic nodular glomerulosclerosis and differential diagnosis
Brazilian Journal of Nephrology
Diabetic Nephropathies
Biopsy
Hypertension
Tobacco Use Disorder
title Idiopathic nodular glomerulosclerosis and differential diagnosis
title_full Idiopathic nodular glomerulosclerosis and differential diagnosis
title_fullStr Idiopathic nodular glomerulosclerosis and differential diagnosis
title_full_unstemmed Idiopathic nodular glomerulosclerosis and differential diagnosis
title_short Idiopathic nodular glomerulosclerosis and differential diagnosis
title_sort idiopathic nodular glomerulosclerosis and differential diagnosis
topic Diabetic Nephropathies
Biopsy
Hypertension
Tobacco Use Disorder
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000400484&tlng=en
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AT mariaguadaluperamirezramirez idiopathicnodularglomerulosclerosisanddifferentialdiagnosis
AT giovannayazminarteagamuller idiopathicnodularglomerulosclerosisanddifferentialdiagnosis
AT jesuscruzvaldez idiopathicnodularglomerulosclerosisanddifferentialdiagnosis