[Denys-Drash syndrome: a case report].
نویسندگان
چکیده
Nephrotic syndrome (NS) rarely develops before the age of 1 year. The case is presented of nephrotic syndrome occurring in the form of Denys-Drash syndrome. In a newborn of female sex in birth certificate, dysmorphia was found of the external urogenital organs. The karyotype was 46XY. Massive proteinuria, low total serum protein level, dysproteinaemia, hypercholesterolaemia justified the diagnosis of NS. In renal biopsy performed diffuse mesangial fibrosis was found. The progression of renal insufficiency was very rapid and within few weeks terminal renal failure developed. The parents refused consent to renal replacement treatment. The baby died at the age of 102 days. The autopsy examination confirmed renal changes in the form of diffuse fibrosis; gonads of testicular structure were found in the abdominal cavity.
منابع مشابه
Denys-Drash syndrome.
In 1967, Denys et al. described the triad of ambiguous genitalia, nephrotic syndrome and Wilms' tumor in an XX/ XY mosaic(l). Three years later, Drash et al. described the triad in two patients and suggested that it may be a syndrome(2). Since then the syndrome has come to be known as the Drash syndrome or, more appropriately, as the Denys-Drash syndrome. More than 60 patients with this syndrom...
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Patients with the Denys-Drash syndrome (Wilms' tumor, genital anomalies, and nephropathy) have been demonstrated to carry de novo constitutional mutations in WT1, the Wilms' tumor gene at chromosome 11p13. We report three new cases, two carrying a previously described WT1 exon 9 mutation and one with a novel WT1 exon 8 mutation. However, unlike patients in previous reports, one of our three pat...
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عنوان ژورنال:
- Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
دوره 14 82 شماره
صفحات -
تاریخ انتشار 2003