Document Detail


Nephrotic syndrome with X-linked ichthyosis, Kallmann Syndrome and unilateral renal agenesis.
MedLine Citation:
PMID:  17468528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a 10-year-old boy with X-linked ichthyosis, Kallmann Syndrome and unilateral renal agenesis who presented with nephrotic syndrome. DNA analysis revealed deletion of the Steroid Sulfatase (STS) gene. STS deficiency in X-linked ichthyosis leads to cholesterol sulfate accumulation, which induces transglutaminase-1 dysfunction. Since the slit diaphragm of the glomerular epithelial cell is a modified adherens junction, the accumulation of cholesterol sulfate could interfere with the normal slit diaphragm function of the glomerular visceral epithelial cell, resulting in nephrotic range proteinuria. The child went into remission on oral prednisolone.
Authors:
Sriram Krishnamurthy; Seema Kapoor; Sangeeta Yadav
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Indian pediatrics     Volume:  44     ISSN:  0019-6061     ISO Abbreviation:  Indian Pediatr     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-30     Completed Date:  2007-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985062R     Medline TA:  Indian Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  301-3     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi 110 002, India.
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MeSH Terms
Descriptor/Qualifier:
Child
Gene Deletion*
Humans
Ichthyosis, X-Linked / diagnosis,  genetics*,  pathology
Kallmann Syndrome / diagnosis,  genetics*,  pathology
Kidney / abnormalities*
Male
Nephrotic Syndrome / diagnosis,  genetics*,  pathology
Steryl-Sulfatase / genetics*
Chemical
Reg. No./Substance:
EC 3.1.6.2/Steryl-Sulfatase

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