Journal of

Case Reports and Images in Medicine

 
   
Case Report
 
Nephrotic syndrome in an adult patient with minimal change disease
Yusuf Alalwan1, Mahmood Alawainati1
1MB, BCh, BAO, RCSI Bahrain, Kingdom of Bahrain

Article ID: 100038Z09YA2017
doi: 10.5348/Z09-2017-38-CR-10

Address correspondence to:
Yusuf Naser Alalwan
Karbabad
Bahrain

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]

How to cite this article
Alalwan Y, Alawainati M. Nephrotic syndrome in an adult patient with minimal change disease. J Case Rep Images Med 2017;3:33–38.

Abstract


Minimal change disease (MCD) is a glomerulopathy that may manifest as nephrotic syndrome. It is most common in children; while, it only accounts for 20–25% of cases of adult nephrotic syndrome. This article presents a case of an adult with MCD presented with generalized edema. Initially, Focal segmental glomerulosclerosis (FSGS) was suspected. However, the patient’s dramatic response to steroids, his acute presentation and the histopathology features of his renal biopsy favored MCD. The initial management comprised of steroids to which the patient responded. A year later, the patient relapsed and mycophenolate mofetil was added. There is lack of guidelines to manage adult MCD, in contrast to child MCD. The clinical picture of the patient is the key to guide decisions about management in absence of evidence-based guidelines.

Keywords: Glomerulopathy nephrotic syndrome, Minimal change disease, Steroids, Mycophenolate mofetil


[HTML Full Text]   [PDF Full Text]

Acknowledgement
We are thankful to Dr. Ali AlAradi, Consultant Nephrologist, Salmanyia Medical Complex, Bahrain for their help in preparing the manuscript.

Author Contributions
Yusuf Alalwan – Substantial contributions conception and design, Acquisition and analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to published
Mahmood Alawainati – Substantial contributions conception and design, Acquisition and analysis of data, drafting the article, Revising it critically for important intellectual content, Final approval of the version to published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Yusuf Alalwan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



  Home line About the Journal line Aim and Scope line Open Access line Archives
Apply as Editor line Apply as Reviewer line Submit Reviews - Editors line Submit Reviews - Reviewers
Instructions for Authors line Templates to Use line Copyright Form line Author Checklist
Online Submission line Email Submission line Submit Revision line Submit All Forms line Submit Page Proofs
Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map
 
  Copyright © 2017. Edorium. All rights reserved.