Document Detail


Photodynamic therapy using verteporfin-induced minimal change nephrotic syndrome.
MedLine Citation:
PMID:  12470762     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report a case of minimal change nephrotic syndrome (MCNS) after photodynamic therapy using verteporfin. DESIGN: Interventional case report. METHODS: After four cycles of photodynamic therapy, general weakness with generalized edema developed in an otherwise healthy 66-year-old woman, resulting in dyspnea and ascites. Urinalysis showed heavy proteinuria (4+) with decreased serum total protein and albumin, and increased total cholesterol levels, suggesting nephrotic syndrome. Renal biopsy and pathologic diagnosis were performed. RESULTS: Renal biopsy revealed normal glomeruli and tubulointerstitium by light microscopy, with no immunoglobin or complement deposition. Transmission electron microscopy showed diffuse effacement of the foot processes of visceral epithelial cells, which is the characteristic finding of minimal change nephrotic syndrome. CONCLUSIONS: We herein report a case of minimal change nephrotic syndrome after photodynamic therapy using verteporfin.
Authors:
Shin W Kang; Shin J Kang; Hyun O Kim; Eun S Nam; Jin H Lee; Hyoung J Koh
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  134     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-12-09     Completed Date:  2003-01-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  907-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine, Institute of Kidney Disease, Yonsei University College of Medicine, Sodaemun-gu, Seoul, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Aged
Biopsy
Blood Proteins / metabolism
Cholesterol / blood
Choroidal Neovascularization / diagnosis,  drug therapy
Female
Fluorescein Angiography
Humans
Kidney / pathology
Nephrosis, Lipoid / chemically induced*,  diagnosis
Photochemotherapy / adverse effects*
Photosensitizing Agents / adverse effects*
Porphyrins / adverse effects*
Proteinuria / diagnosis
Chemical
Reg. No./Substance:
0/Blood Proteins; 0/Photosensitizing Agents; 0/Porphyrins; 129497-78-5/verteporfin; 57-88-5/Cholesterol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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