The Occurrence or Fibrillary Glomerulonephritis in Patients with Diabetes Mellitus May Not Be Coincidental: A Report of Four Cases

Although clinical presentation of fibrillary glomerulonephritis is similar to most forms of glomerulonephritis, it is usually difficult to make the diagnosis. Clinical manifestations include proteinuria, microscopic haematuria, nephrotic syndrome, and impairment of renal function. A diagnosis of fib...

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Main Authors: Fayna González-Cabrera, Fernando Henríquez-Palop, Ana Ramírez-Puga, Raquel Santana-Estupiñán, Celia Plaza-Toledano, Gloria Antón-Pérez, Silvia Marrero-Robayna, Davinia Ramírez-Medina, Roberto Gallego-Samper, Nicanor Vega-Díaz, Rafael Camacho-Galan, José C. Rodríguez-Pérez
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/935172
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author Fayna González-Cabrera
Fernando Henríquez-Palop
Ana Ramírez-Puga
Raquel Santana-Estupiñán
Celia Plaza-Toledano
Gloria Antón-Pérez
Silvia Marrero-Robayna
Davinia Ramírez-Medina
Roberto Gallego-Samper
Nicanor Vega-Díaz
Rafael Camacho-Galan
José C. Rodríguez-Pérez
author_facet Fayna González-Cabrera
Fernando Henríquez-Palop
Ana Ramírez-Puga
Raquel Santana-Estupiñán
Celia Plaza-Toledano
Gloria Antón-Pérez
Silvia Marrero-Robayna
Davinia Ramírez-Medina
Roberto Gallego-Samper
Nicanor Vega-Díaz
Rafael Camacho-Galan
José C. Rodríguez-Pérez
author_sort Fayna González-Cabrera
collection DOAJ
description Although clinical presentation of fibrillary glomerulonephritis is similar to most forms of glomerulonephritis, it is usually difficult to make the diagnosis. Clinical manifestations include proteinuria, microscopic haematuria, nephrotic syndrome, and impairment of renal function. A diagnosis of fibrillary glomerulonephritis is only confirmed by renal biopsy and it must comprise electronmicroscopy-verified ultrastructural findings. We report four cases between 45–50 years old with documented type 2 diabetes mellitus (T2DM) and arterial hypertension. All patients were found to have fibrils on kidney biopsy. The differential diagnosis of fibrils in the setting of diabetes mellitus is also discussed.
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language English
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spelling doaj-art-c51f3baf38c74c19a6cd53ba76488b5e2025-02-03T01:26:01ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/935172935172The Occurrence or Fibrillary Glomerulonephritis in Patients with Diabetes Mellitus May Not Be Coincidental: A Report of Four CasesFayna González-Cabrera0Fernando Henríquez-Palop1Ana Ramírez-Puga2Raquel Santana-Estupiñán3Celia Plaza-Toledano4Gloria Antón-Pérez5Silvia Marrero-Robayna6Davinia Ramírez-Medina7Roberto Gallego-Samper8Nicanor Vega-Díaz9Rafael Camacho-Galan10José C. Rodríguez-Pérez11Nephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainNephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainNephrology Department, University Hospital Materno-Insular, SpainNephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainNephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainNephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainNephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainNephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainNephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainNephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainPathology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainNephrology Department, Dr. Negrin University Hospital, Las Palmas de Gran Canaria University, Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, SpainAlthough clinical presentation of fibrillary glomerulonephritis is similar to most forms of glomerulonephritis, it is usually difficult to make the diagnosis. Clinical manifestations include proteinuria, microscopic haematuria, nephrotic syndrome, and impairment of renal function. A diagnosis of fibrillary glomerulonephritis is only confirmed by renal biopsy and it must comprise electronmicroscopy-verified ultrastructural findings. We report four cases between 45–50 years old with documented type 2 diabetes mellitus (T2DM) and arterial hypertension. All patients were found to have fibrils on kidney biopsy. The differential diagnosis of fibrils in the setting of diabetes mellitus is also discussed.http://dx.doi.org/10.1155/2013/935172
spellingShingle Fayna González-Cabrera
Fernando Henríquez-Palop
Ana Ramírez-Puga
Raquel Santana-Estupiñán
Celia Plaza-Toledano
Gloria Antón-Pérez
Silvia Marrero-Robayna
Davinia Ramírez-Medina
Roberto Gallego-Samper
Nicanor Vega-Díaz
Rafael Camacho-Galan
José C. Rodríguez-Pérez
The Occurrence or Fibrillary Glomerulonephritis in Patients with Diabetes Mellitus May Not Be Coincidental: A Report of Four Cases
Case Reports in Medicine
title The Occurrence or Fibrillary Glomerulonephritis in Patients with Diabetes Mellitus May Not Be Coincidental: A Report of Four Cases
title_full The Occurrence or Fibrillary Glomerulonephritis in Patients with Diabetes Mellitus May Not Be Coincidental: A Report of Four Cases
title_fullStr The Occurrence or Fibrillary Glomerulonephritis in Patients with Diabetes Mellitus May Not Be Coincidental: A Report of Four Cases
title_full_unstemmed The Occurrence or Fibrillary Glomerulonephritis in Patients with Diabetes Mellitus May Not Be Coincidental: A Report of Four Cases
title_short The Occurrence or Fibrillary Glomerulonephritis in Patients with Diabetes Mellitus May Not Be Coincidental: A Report of Four Cases
title_sort occurrence or fibrillary glomerulonephritis in patients with diabetes mellitus may not be coincidental a report of four cases
url http://dx.doi.org/10.1155/2013/935172
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