Focal segmental glomerulosclerosis in which urinary protein improved after surgical treatment for acromegaly: a case report

Abstract Background Focal segmental glomerulosclerosis is characterized by partial (segmental) sclerotic lesions in some glomeruli (focal). Primary focal segmental glomerulosclerosis is generally considered resistant to steroid therapy. However, acromegaly is a disease that causes peculiar facial fe...

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Main Authors: Arina Yamasaki, Daisuke Bito, Erina Eto, Keiichiro Matsumoto, Megumi Nakamura, Junji Miyazaki, Kenichi Matsumoto, Masanori Masuda, Daisuke Mori, Toru Yoshimura
Format: Article
Language:English
Published: BMC 2019-09-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-019-2228-z
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author Arina Yamasaki
Daisuke Bito
Erina Eto
Keiichiro Matsumoto
Megumi Nakamura
Junji Miyazaki
Kenichi Matsumoto
Masanori Masuda
Daisuke Mori
Toru Yoshimura
author_facet Arina Yamasaki
Daisuke Bito
Erina Eto
Keiichiro Matsumoto
Megumi Nakamura
Junji Miyazaki
Kenichi Matsumoto
Masanori Masuda
Daisuke Mori
Toru Yoshimura
author_sort Arina Yamasaki
collection DOAJ
description Abstract Background Focal segmental glomerulosclerosis is characterized by partial (segmental) sclerotic lesions in some glomeruli (focal). Primary focal segmental glomerulosclerosis is generally considered resistant to steroid therapy. However, acromegaly is a disease that causes peculiar facial features, body types, and metabolic abnormalities due to the excessive secretion of growth hormone by a pituitary adenoma. Growth hormone has been reported to be involved in glomerular cell growth, mesangial proliferation, and glomerulosclerosis in the kidney. Case presentation We report a case of a Japanese patient with focal segmental glomerulosclerosis in whom decreased urinary protein was observed after surgical treatment for acromegaly. Conclusion The patient’s urinary protein improved as the concentration of growth hormone/insulin-like growth factor 1 decreased.
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spelling doaj.art-9614e9eb3ea64dea9449d21c86e8619d2022-12-21T22:41:35ZengBMCJournal of Medical Case Reports1752-19472019-09-011311610.1186/s13256-019-2228-zFocal segmental glomerulosclerosis in which urinary protein improved after surgical treatment for acromegaly: a case reportArina Yamasaki0Daisuke Bito1Erina Eto2Keiichiro Matsumoto3Megumi Nakamura4Junji Miyazaki5Kenichi Matsumoto6Masanori Masuda7Daisuke Mori8Toru Yoshimura9Diabetes and Endocrinology, Saga-Ken Medical Centre KoseikanDiabetes and Endocrinology, Saga-Ken Medical Centre KoseikanDiabetes and Endocrinology, Saga-Ken Medical Centre KoseikanNephrology, Saga-Ken Medical Centre KoseikanNephrology, Saga-Ken Medical Centre KoseikanOtorhinolaryngology, Saga-Ken Medical Centre KoseikanNeurosurgery, Saga-Ken Medical Centre KoseikanDiagnostic Pathology, Saga-Ken Medical Centre KoseikanDiagnostic Pathology, Saga-Ken Medical Centre KoseikanDiabetes and Endocrinology, Saga-Ken Medical Centre KoseikanAbstract Background Focal segmental glomerulosclerosis is characterized by partial (segmental) sclerotic lesions in some glomeruli (focal). Primary focal segmental glomerulosclerosis is generally considered resistant to steroid therapy. However, acromegaly is a disease that causes peculiar facial features, body types, and metabolic abnormalities due to the excessive secretion of growth hormone by a pituitary adenoma. Growth hormone has been reported to be involved in glomerular cell growth, mesangial proliferation, and glomerulosclerosis in the kidney. Case presentation We report a case of a Japanese patient with focal segmental glomerulosclerosis in whom decreased urinary protein was observed after surgical treatment for acromegaly. Conclusion The patient’s urinary protein improved as the concentration of growth hormone/insulin-like growth factor 1 decreased.http://link.springer.com/article/10.1186/s13256-019-2228-zAcromegalyFocal segmental glomerulosclerosisGrowth hormoneInsulin-like growth factor 1
spellingShingle Arina Yamasaki
Daisuke Bito
Erina Eto
Keiichiro Matsumoto
Megumi Nakamura
Junji Miyazaki
Kenichi Matsumoto
Masanori Masuda
Daisuke Mori
Toru Yoshimura
Focal segmental glomerulosclerosis in which urinary protein improved after surgical treatment for acromegaly: a case report
Journal of Medical Case Reports
Acromegaly
Focal segmental glomerulosclerosis
Growth hormone
Insulin-like growth factor 1
title Focal segmental glomerulosclerosis in which urinary protein improved after surgical treatment for acromegaly: a case report
title_full Focal segmental glomerulosclerosis in which urinary protein improved after surgical treatment for acromegaly: a case report
title_fullStr Focal segmental glomerulosclerosis in which urinary protein improved after surgical treatment for acromegaly: a case report
title_full_unstemmed Focal segmental glomerulosclerosis in which urinary protein improved after surgical treatment for acromegaly: a case report
title_short Focal segmental glomerulosclerosis in which urinary protein improved after surgical treatment for acromegaly: a case report
title_sort focal segmental glomerulosclerosis in which urinary protein improved after surgical treatment for acromegaly a case report
topic Acromegaly
Focal segmental glomerulosclerosis
Growth hormone
Insulin-like growth factor 1
url http://link.springer.com/article/10.1186/s13256-019-2228-z
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