Membranoproliferative glomerulonephritis Type 3 associated with Kabuki syndrome.

TitleMembranoproliferative glomerulonephritis Type 3 associated with Kabuki syndrome.
Publication TypeJournal Article
Year of Publication2012
AuthorsNishizaki N, Fujinaga S, Hirano D, Murakami H, Kamei K, Ohtomo Y, Shimizu T, Kaneko K
JournalClin Nephrol
Date Published2012 Nov 14
ISSN0301-0430
Abstract

First described in Japanese patients, Kabuki syndrome (KS) is a congenital condition associated with multiple anomalies and mental retardation. Although urological and immune abnormalities are common in KS, immune complex nephritis such as membranoproliferative glomerulonephritis (MPGN) has not yet been reported. We describe the first reported case of a KS patient with common variable immunodeficiency (CVI) and recurrent otitis media who developed severe proteinuria and hematuria due to MPGN Type 3 detected during the school urinary screening program in Japan. The patient was intravenously treated with methylprednisolone pulses followed by alternate-day prednisolone and an angiotensin receptor blocker. The patient showed remarkable improvement in both histological and urinary analyses. This case report suggests that immune abnormalities associated with KS can play an important role in the development of MPGN. Urinalysis should be regularly performed in KS patients with hypogammaglobulinemia and/or recurrent infection.

DOI10.5414/CN107464
Alternate JournalClin. Nephrol.
Citation Key1215
PubMed ID23149249