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Renal failure due to tubulointerstitial nephropathy in an infant with cranioectodermal dysplasia

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Abstract

Cranioectodermal dysplasia (CED) is a rare autosomal recessive disease with characteristic craniofacial, skeletal, and ectodermal-derived tissue abnormalities. In this disease, tubulointerstitial nephropathy (TIN) has been reported as one of the life-threatening combinations. Here we report a sporadic case of CED showing signs of renal failure during the perinatal period. Renal biopsy at the age of 6 months revealed TIN consisting of marked interstitial fibrosis with inflammatory cell infiltration accompanied by scattered tubular atrophy. Glomeruli were often sclerosed and others showed prominent immaturity; the findings are supportive of progressive deterioration of renal function in this infant. This case suggests that TIN in CED can occur during the fetal period and progress rapidly, leading to end-stage renal failure in infancy.

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References

  1. Sensenbrenner JA, Dorst JP, Owens RP (1975) New syndrome of skeletal, dental and hair anomalies. Birth Defects Orig Artic Ser 11:372–379

    PubMed  CAS  Google Scholar 

  2. Savill GA, Young ID, Cunningham RJ, Ansell ID, Evans JH (1997) Chronic tubulo-interstitial nephropathy in children with cranioectodermal dysplasia. Pediatr Nephrol 11:215–217

    Article  PubMed  CAS  Google Scholar 

  3. Levin LS, Perrin JC, Ose L, Dorst JP, Miller JD, McKusick VA (1977) A heritable syndrome of craniosynostosis, short thin hair, dental abnormalities, and short limbs: cranioectodermal dysplasia. J Pediatr 90:55–61

    Article  PubMed  CAS  Google Scholar 

  4. Young ID (1989) Cranioectodermal dysplasia (Sensenbrenner’s syndrome). J Med Genet 26:393–396

    Article  PubMed  CAS  Google Scholar 

  5. Lang GD, Young ID (1991) Cranioectodermal dysplasia in sibs. J Med Genet 28:424

    PubMed  CAS  Google Scholar 

  6. Tamai S, Tojo M, Kamimaki T, Sato Y, Nishimura G (2002) Intrafamilial phenotypic variations in cranioectodermal dysplasia: propositus with typical manifestations and her brother with perinatal death. Am J Med Genet 107:78–80

    Article  PubMed  Google Scholar 

  7. Eke T, Woodruff G, Young ID (1996) A new oculorenal syndrome: retinal dystrophy and tubulointerstitial nephropathy in cranioectodermal dysplasia. Br J Ophthalmol 80:490–491

    Article  PubMed  CAS  Google Scholar 

  8. Tsimaratos M, Sarles J, Sigaudy S, Philip N (1998) Renal and retinal involvement in the Sensenbrenner syndrome. Am J Med Genet 77:337

    Article  PubMed  CAS  Google Scholar 

  9. Amar MJ, Sutphen R, Kousseff BG (1997) Expanded phenotype of cranioectodermal dysplasia (Sensenbrenner syndrome). Am J Med Genet 70:349–352

    Article  PubMed  CAS  Google Scholar 

  10. Costet C, Betis F, Berard E, Tsimaratos M, Sigaudy S, Antignac C, Gastaud P (2000) Pigmentosum retinis and tubulo-interstitial nephronophtisis in Sensenbrenner syndrome: a case report. J Fr Ophtalmol 23:158–160

    PubMed  CAS  Google Scholar 

  11. Thony HC, Luethy CM, Zimmermann A, Laux-End R, Oetliker OH, Bianchetti MG (1995) Histological features of glomerular immaturity in infants and small children with normal or altered tubular function. Eur J Pediatr 154:S65–S68

    Article  PubMed  CAS  Google Scholar 

  12. Hildebrandt F, Otto E (2000) Molecular genetics of nephronophthisis and medullary cystic kidney disease. J Am Soc Nephrol 11:1753–1761

    PubMed  CAS  Google Scholar 

  13. Gagnadoux MF, Bacri JL, Broyer M, Habib R (1989) Infantile chronic tubulo-interstitial nephritis with cortical microcysts: variant of nephronophthisis or new disease entity? Pediatr Nephrol 3:50–55

    Article  PubMed  CAS  Google Scholar 

  14. Saunier S, Salomon R, Antignac C (2005) Nephronophthisis. Curr Opin Genet Dev 15:324–331

    Article  PubMed  CAS  Google Scholar 

  15. Pazour GJ, Dickert BL, Vucica Y, Seeley ES, Rosenbaum JL, Witman GB, Cole DG (2000) Chlamydomonas IFT88 and its mouse homologue, polycystic kidney disease gene tg737, are required for assembly of cilia and flagella. J Cell Biol 151:709–718

    Article  PubMed  CAS  Google Scholar 

  16. Zhang Q, Murcia NS, Chittenden LR, Richards WG, Michaud EJ, Woychik RP, Yoder BK (2003) Loss of the Tg737 protein results in skeletal patterning defects. Dev Dyn 227:78–90

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Satoshi Sasaki.

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Obikane, K., Nakashima, T., Watarai, Y. et al. Renal failure due to tubulointerstitial nephropathy in an infant with cranioectodermal dysplasia. Pediatr Nephrol 21, 574–576 (2006). https://doi.org/10.1007/s00467-006-0031-8

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  • DOI: https://doi.org/10.1007/s00467-006-0031-8

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