Nephrotic syndrome in a patient with Glycogen Storage Disease Type IXb.


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DOI:

https://doi.org/10.51271/jpea-2022-192

Keywords:

nephrotic syndrome

Abstract

Introduction: Glycogen storage disorder (GSD) IXb is characterized by liver and muscle involvement. We present a GSD IXb patient with an incidental union of nephrotic syndrome.

Case Report: A 4 year-old-patient was diagnosed with GSD IXb at 13 months of age with mildly elevated transaminases and hepatomegaly. During the follow-up period, there was no hypoglycemia. Development and growth were normal. In the last month, the onset of generalized edema was reported. Urinalysis showed a high protein level. He had low serum albumin, high serum triglycerides cholesterol. Complement levels were normal. The patient was diagnosed as minimal change disease with a renal biopsy. He was treated with oral prednisone.

Discussion: Minimal Change Disease is the most common cause of idiopathic nephrotic syndrome cases in children and the first step for therapy is the usage of corticosteroids. This is the first report of nephrotic syndrome associated with GSD IXb disease.

Figure 1: A, B. In light microscopic examination, the glomerulus is closely related to Bowman’s capsule and distance narrowed. C, Global sclerotic glomeruli in Jones methenamine silver stain. D, Closely related appearance of tuft and capsule in PAS stain

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Published

2022-12-23

How to Cite

Yoldas Celik, M. ., Yazıcı, H., Erdem, F., Canda, E., Sarsik Kumbaraci, B., Kaplan Bulut, I., Kalkan Ucar, S., Kabasakal, S. C., & Çoker, M. (2022). Nephrotic syndrome in a patient with Glycogen Storage Disease Type IXb. The Journal of Pediatric Academy, 3(3), 132–134. https://doi.org/10.51271/jpea-2022-192