Post-transplant de-novo renal phospholipidosis in a kidney transplant recipient: Fabry disease or something else?

Fabry disease cationic amphiphilic drugs lamellar inclusions myelin bodies renal phospholipidosis

Journal

Clinical nephrology. Case studies
ISSN: 2196-5293
Titre abrégé: Clin Nephrol Case Stud
Pays: Germany
ID NLM: 101638685

Informations de publication

Date de publication:
2020
Historique:
received: 13 02 2020
accepted: 09 04 2020
entrez: 23 6 2020
pubmed: 23 6 2020
medline: 23 6 2020
Statut: epublish

Résumé

Renal phospholipidosis is a rare cause of proteinuria and kidney dysfunction. We describe a kidney transplant recipient who presented with slowly rising serum creatinine, nephrotic range proteinuria, and lower extremity edema 10 years post transplant. He was diagnosed with renal phospholipidosis on the transplant kidney biopsy. Patient did not have prior history or current symptoms or signs of Fabry disease. Serum α-galactosidase level was normal. The etiology was suspected to be due to chronic use of sertraline, a previously reported cause of drug-induced renal phospholipidosis. Sertraline was discontinued, and proteinuria declined with stabilization of kidney function at 6-months follow-up.

Identifiants

pubmed: 32566446
doi: 10.5414/CNCS110131
pmc: PMC7303541
doi:

Types de publication

Case Reports

Langues

eng

Pagination

46-48

Informations de copyright

© Dustri-Verlag Dr. K. Feistle.

Références

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pubmed: 11568304
Am J Nephrol. 1983 Sep-Oct;3(5):279-84
pubmed: 6416069
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pubmed: 25949377

Auteurs

Muhammad Saad Naseer (MS)

John C. McDonald Regional Transplant Center - Willis Knighton Health System.

Raj Chand (R)

John C. McDonald Regional Transplant Center - Willis Knighton Health System.

Stefano Coppola (S)

Department of Internal Medicine, Division of Nephrology, Louisiana State University Health Sciences Center (LSUHSC), Shreveport, LA, and.

Adrian Abreo (A)

Department of Internal Medicine, Division of Nephrology, Louisiana State University Health Sciences Center (LSUHSC), Shreveport, LA, and.

Mukesh Sharma (M)

Department of General and Interventional Nephrology, Sierra Nevada Nephrology Consultants, Reno, NV, USA.

Neeraj Singh (N)

John C. McDonald Regional Transplant Center - Willis Knighton Health System.

Classifications MeSH