Nephropathic Cystinosis Presenting as Renal Fanconi Syndrome without Glycosuria

Renal Fanconi syndrome is diagnosed by its cardinal features of glycosuria without diabetes, aminoaciduria, phosphaturia, and renal tubular acidosis. It is often associated with hypokalaemia, hypophosphatemia and rickets. We report a seven-year-old boy with nephropathic cystinosis who presented wi...

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Main Authors: Jayashree Kanthila, Smitha Dsa, Kamalakshi G. Bhat
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-03-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/5692/10875_CE(RA1)_F(T)_PF1(NJAK)_PFA(AK)_PF2(PAG).pdf
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author Jayashree Kanthila
Smitha Dsa
Kamalakshi G. Bhat
author_facet Jayashree Kanthila
Smitha Dsa
Kamalakshi G. Bhat
author_sort Jayashree Kanthila
collection DOAJ
description Renal Fanconi syndrome is diagnosed by its cardinal features of glycosuria without diabetes, aminoaciduria, phosphaturia, and renal tubular acidosis. It is often associated with hypokalaemia, hypophosphatemia and rickets. We report a seven-year-old boy with nephropathic cystinosis who presented with all the cardinal features of renal Fanconi syndrome associated with rickets, pathological fractures, stage IV chronic kidney disease (CKD) and hypothyroidism. Slit-lamp examination of the cornea confirmed the diagnosis. However glycosuria was conspicuously absent. Whenever there are features of rickets with failure to thrive and recurrent vomiting renal rickets should be ruled out. Cystinosis is one such disorder and we report this case due its rarity and interesting clinical presentation.
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spelling doaj.art-bb868268395443afa364d836d43bfddd2022-12-22T00:58:19ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-03-0193SD05SD0610.7860/JCDR/2015/10875.5692Nephropathic Cystinosis Presenting as Renal Fanconi Syndrome without GlycosuriaJayashree Kanthila0Smitha Dsa1Kamalakshi G. Bhat2Associate Professor, Department of Pediatrics, Kasturba Medical College, Mangalore, Manipal University, India.Assistant Professor, Department of Pediatrics, Kasturba Medical College, Mangalore, Manipal University, India.Professor, Department of Pediatrics, Kasturba Medical College, Mangalore, Manipal University, India.Renal Fanconi syndrome is diagnosed by its cardinal features of glycosuria without diabetes, aminoaciduria, phosphaturia, and renal tubular acidosis. It is often associated with hypokalaemia, hypophosphatemia and rickets. We report a seven-year-old boy with nephropathic cystinosis who presented with all the cardinal features of renal Fanconi syndrome associated with rickets, pathological fractures, stage IV chronic kidney disease (CKD) and hypothyroidism. Slit-lamp examination of the cornea confirmed the diagnosis. However glycosuria was conspicuously absent. Whenever there are features of rickets with failure to thrive and recurrent vomiting renal rickets should be ruled out. Cystinosis is one such disorder and we report this case due its rarity and interesting clinical presentation.https://jcdr.net/articles/PDF/5692/10875_CE(RA1)_F(T)_PF1(NJAK)_PFA(AK)_PF2(PAG).pdfcystinosisglycosuriarenal fanconi syndrome
spellingShingle Jayashree Kanthila
Smitha Dsa
Kamalakshi G. Bhat
Nephropathic Cystinosis Presenting as Renal Fanconi Syndrome without Glycosuria
Journal of Clinical and Diagnostic Research
cystinosis
glycosuria
renal fanconi syndrome
title Nephropathic Cystinosis Presenting as Renal Fanconi Syndrome without Glycosuria
title_full Nephropathic Cystinosis Presenting as Renal Fanconi Syndrome without Glycosuria
title_fullStr Nephropathic Cystinosis Presenting as Renal Fanconi Syndrome without Glycosuria
title_full_unstemmed Nephropathic Cystinosis Presenting as Renal Fanconi Syndrome without Glycosuria
title_short Nephropathic Cystinosis Presenting as Renal Fanconi Syndrome without Glycosuria
title_sort nephropathic cystinosis presenting as renal fanconi syndrome without glycosuria
topic cystinosis
glycosuria
renal fanconi syndrome
url https://jcdr.net/articles/PDF/5692/10875_CE(RA1)_F(T)_PF1(NJAK)_PFA(AK)_PF2(PAG).pdf
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AT smithadsa nephropathiccystinosispresentingasrenalfanconisyndromewithoutglycosuria
AT kamalakshigbhat nephropathiccystinosispresentingasrenalfanconisyndromewithoutglycosuria