Horseshoe Kidney and Nephrotic Syndrome due to Idiopathic Membranous Nephropathy.

Alagözlü, Hakan; Candan, Ferhan; Gültekin, Füsun; Bulut, Eray; Elagöz, Şahande

doi:10.2169/internalmedicine.40.1259

Cited by 9 publications

(9 citation statements)

References 3 publications

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“…In the literature, glomerular diseases in HSK (Table ) reported are, respectively, membranous nephropathy, focal and segmental glomerulosclerosis, membranoproliferative glomerulonephritis, mesangioproliferative glomerulonephritis, and renal amyloidosis . To the best of our knowledge, we are the first to describe the cases of IgA nephropathy or Henoch‐Schonlein purpura nephritis (secondary IgA nephropathy) occuring in a HSK.…”

Section: Discussion and Literature Reviewmentioning

confidence: 92%

“…There have been some case reports about the occurrence of glomerulopathy in HSK in the literature. It is believed by the authors of these reports that the co‐occurrence of HSK and glomerulopathy may be a coincidence or HSK can predispose glomerular diseases because it facilitates immune complex deposition and amyloid formation . But because few patients with HSKs receive a renal biopsy, there is a lack of evidence elucidating the causal relationship of glomerulopathy and HSK .…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

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Immunoglobulin A nephropathy in horseshoe kidney: Case reports and literature review

Jin

Chen

et al. 2014

Nephrology

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This is a valuable report describing two cases with IgA nephropathy on horseshoe kidneys. The authors discuss past reports and emphasize the importance of renal biopsy for horseshoe kidney patients with heavy proteinuria. ABSTRACT:Horseshoe kidney is the most common congenital renal fusion anomaly. Immunoglobulin A nephropathy is a common glomerulonephritis worldwide. However, the co-occurrence of these diseases had not been reported in the literature. We report the first two cases with the occurrence of immunoglobulin A nephropathy in horseshoe kidney. The first case was a 26-yearold male with hypertension and proteinuria (1.4 g/24 h), his pathological finding was primary immunoglobulin A nephropathy. The second case was a 15-year-old female who presented with recurrent peliosis on bilateral lower extremities, haematuria and proteinuria (1.7 g/24 h). Her renal biopsy finding was Henoch-Schonlein purpura nephritis (secondary immunoglobulin A nephropathy). In both cases, renal biopsy was performed by experienced doctors under ultrasonic guidance at the renal upper pole and no postoperative complications were observed. After they were treated based on the renal pathological findings for 6 months, urine protein excretion decreased significantly and blood pressure and serum creatinine stabilized. It is possible that immunoglobulin A nephropathy occurs in a horseshoe kidney patient. Renal biopsy may be valuable and viable for horseshoe kidney patients with heavy proteinuria to identify pathologic type of glomerulopathy and to guide treatment, if renal biopsy is performed by experienced doctors at the renal upper pole under renal ultrasonic guidance.

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Section: Discussion and Literature Reviewmentioning

confidence: 92%

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Immunoglobulin A nephropathy in horseshoe kidney: Case reports and literature review

Jin

Chen

et al. 2014

Nephrology

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“…found five cases regarding horseshoe kidney in association with glomerulonephritis: membranoproliferative glomerulonephritis, [4] membranous glomerulonephritis, [5][6][7] and focal and segmental glomerulosclerosis. [8] The case with membranoproliferative glomerulonephritis was associated with cryoglobulinemic hepatitis C virus infection.…”

Section: Kayatas and Y üRünmentioning

confidence: 99%

“…[5] The remaining three cases were two patients with membranous glomerulonephritis, and one patient with FSGS was reported as idiopathic. [6][7][8] Vesicoureteral reflux, which can lead to focal segmental glomerulosclerosis, is a clinical condition commonly associated with horseshoe kidney. During the investigation of the retrograde pyelographic examination of our patient with FSGS, the diagnosis of vesicoureteral reflux was excluded.…”

Section: Kayatas and Y üRünmentioning

confidence: 99%

Letter to the Editor: “Two Cases with Horseshoe Kidney in Association with Nephrotic Syndrome: Is There a Causal Relationship between Two Conditions?”

Kayataş

Ürün

2007

Renal Failure

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“…The most frequent complications are urinary tract infections, stones, hydronephrosis and a variety of benign and malignant tumors [1, 2]. The occurrence of glomerular nephropathy in HSK has been only reported in a few case reports of patients with membranous glomerulonephropathy [3-5], focal and segmental glomerulosclerosis [2, 6, 7], membranoproliferative glomerulonephritis [8, 9], renal amylosis [2], immunoglobulin A nephropathy [10] and a Henoch-Schonlein purpura nephritis [10]. We report the first case of minimal change disease (MCD) occurring in a patient with HSK.…”

Section: Introductionmentioning

confidence: 99%

Minimal change disease in horseshoe kidney

Chaabouni¹,

Guesmi²,

Hentati³

et al. 2017

Pan Afr Med J

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The horseshoe kidney is a frequent urological birth defect. The most frequent complications are urinary tract infections, stones and hydronephrosis. The occurrence of glomerular disease in horseshoe kidney is rare. Therefore, we report the first case of minimal change disease occurring in a patient with horseshoe kidney in literature. A 22-year-old Caucasian man without personal or family medical history admitted to the pneumology department for a pulmonary artery embolism. In presence of a generalized oedema, a biological assessment was performed yielding intense nephrotic syndrome with urine protein excretion 22g/day. The abdominal ultrasound revealed a horseshoe kidney. Hence a scanno-guided kidney biopsy was taken yielding minimal change disease. High dose steroids were started, then gradually tapered with good response. Horseshoe kidney is the most common renal fusion anomaly, with a prevalence of 0.25% among the general population. The occurrence of glomerular nephropathy in horseshoe kidney has been reported in few cases. We report the first case of minimal change disease occurring in a patient with horseshoe kidney in literature. The mechanism of the association between the horseshoe kidney and these renal pathologies could not be explained in the previous reports. There is no literature data indicating a high rate of glomerulonephritis in horseshoe kidneys. The co-incidence of two renal diseases in this patient can be only a coincidence. The question that arises is whether this glomerulopathy is associated or not with this anatomical abnormality. Further studies are needed to answer this question.

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Horseshoe Kidney and Nephrotic Syndrome due to Idiopathic Membranous Nephropathy.

Cited by 9 publications

References 3 publications

Immunoglobulin A nephropathy in horseshoe kidney: Case reports and literature review

Immunoglobulin A nephropathy in horseshoe kidney: Case reports and literature review

Letter to the Editor: “Two Cases with Horseshoe Kidney in Association with Nephrotic Syndrome: Is There a Causal Relationship between Two Conditions?”

Minimal change disease in horseshoe kidney

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