Steroidresistant nephrotic syndrome in a child associated with a mutation in the INF2 gene
نویسندگان
چکیده
Introduction. Nephrotic syndrome (NS) is a disease of the glomeruli that occurs in childhood with frequency 12–16 per 100,000. More than 85 % children NS respond to corticosteroid therapy, approximately 10–15 remain refractory or later become resistant them. In 10–30 patients steroid-resistant nephrotic (SRNS), mutations structural genes podocytes, modifier were found, there also evidence formation circulating antibodies structure influence environmental factors. Difficulties diagnosis and treatment SRNS are determined by its heterogeneous etiology, frequent absence remission development multidrug resistance progression end-stage chronic renal failure return after kidney transplantation. The aim study present clinical case focal segmental glomerulosclerosis associated c.1280_1285delCACCCC mutation INF2 gene, localized on chromosome 14 15-year-old child. Materials methods. An analysis anamnestic data was used - primary medical documentation (medical history), results an objective examination examination, laboratory, instrumental diagnostic molecular genetic methods for studying child syndrome. Results Discussion. presented demonstrates FSGS podocyte gene INF2, which detected close relative. course characterized multiple drug resistance. Conclusion. importance morphological verification child, conducting not only patient himself, but his parents predict risks transplantation, recipient donor.
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ژورنال
عنوان ژورنال: ????????? ??????????? ??????
سال: 2022
ISSN: ['2587-9359', '0368-4814']
DOI: https://doi.org/10.52420/2071-5943-2022-21-3-107-113