Nephrotic syndrome and fibrillary glomerulonephritis

J. Laufer, A. Augarten, A. Szeinberg, J. Rapoport, D. Katzenelson, Y. Yahav

Research output: Contribution to journalArticlepeer-review

Abstract

A 28-year-old female with cystic fibrosis presented with nephrotic syndrome and progressive renal failure. In addition, she complained of blurred vision and there was a purpuric skin eruption localized to her legs. A renal biopsy revealed fibrillary glomerulonephritis. Skin biopsy demonstrated swelling of capillary endothelium, thickening of arteriolar walls and deposition of IgA, C3 and fibrinogen by immunofluorescence. Opthalmoscopy and fluorescein angiography disclosed cotton wool spots with intraretinal haemorrhages and ischaemia of the macula. Albumin infusions resulted in worsening of eye symptoms and signs. The presence of these three clinicopathologic entities in a patient with CF may indicate the possibility of systemic involvement related to continued exposure to chronic bacterial lower lung infection.

Original languageEnglish
Pages (from-to)83-86
Number of pages4
JournalJournal of Internal Medicine
Volume242
Issue number1
DOIs
StatePublished - 1997

Keywords

  • Cystic fibrosis
  • Fibrillary glomerulonephritis
  • Nephrotic syndrome
  • Purpura
  • Retina

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