Abstract
Schimke immuno-osseous dysplasia is a rare autosomal recessive multi-system disorder, with clinical features of growth retardation, spondylo-epiphyseal dysplasia, nephrotic syndrome and immunodeficiency beginning in childhood. Here, we report a new case, in a 10-year-old boy with characteristic symptoms of Schimke immuno-osseous dysplasia. The patient presented with short stature and, later, developed nephrotic syndrome and peritonitis. In addition, he had perinuclear anti-neutrophilic cytoplasmic antibody (p-ANCA)-positive arthritis. Renal pathology of the patients with this disease usually show focal segmental glomerulonephritis, whereas our patient had membranous nephropathy, which has not previously been reported.
References
Schimke RN, Horton WA, King CR (1971) Chondroitin-6-sulphaturia, defective cellular immunity, and nephrotic syndrome. Lancet 2:1088–1089
Spranger J, Hinkel GK, Stoss H, Thoenes W, Wargowski D, Zepp F (1991) Schimke immunoosseous dysplasia: a newly recognized multisystem disease. J Pediatr 119:64–72
Ludman MD, Cole DEC, Crocker JFS, Cohen MM (1993) Schimke immunoosseous dysplasia: case report and review. Am J Med Genet 47:793–796
Lama G, Marrone N, Majorana M, Cirillo F, Salsano ME, Rinaldi MM (1995) Spondyloepiphyseal dysplasia tarda and nephrotic syndrome in three siblings. Pediatr Nephrol 9:19–23
Ehrich JHH, Burchert W, Schirg E, Krull F, Offner G, Hoyer PF, Brodehl J (1995) Steroid resistant nephrotic syndrome associated with spondyloepiphyseal dysplasia, transient ischemic attacks and lymphopenia. Clin Nephrol 43:89–95
Lucke T, Marwedel KM, Kanzelmeyer NK, Hori A, Offner G, Kreipe HH, Ehrich JHH, Das AM (2004) Generalized atherosclerosis sparing the transplanted kidney in Schimke disease. Pediatr Nephrol 19:672–675
Boerkoel CF, O’Neill S, Andre JL, Benke PJ, Bogdanovic R, Bulla M, Burguet A, Cockfield S, Cordeiro I, Ehrich JHH, Frund S, Geary DF, Ieshima A, Illies F, Joseph MW, Kaitila I, Lama G, Leheup B, Ludman MD, Mcleod DR, Medeira A, Milford DV, Ormala T, Rener-Primec Z, Santava A, Santos HG, Schmidt B, Smith GC, Spranger J, Zupancic N, Weksberg R (2000) Manifestations and treatment of Schimke immunoosseous dysplasia: 14 new cases and review of the literature. Eur J Pediatr 159:1–7
Boerkoel CF, Takashima H, John J, Yan J, Stankiewicz P, Rosenbarker L, Andre JL, Bogdanovic R, Burguet A, Cockfield S, Cordeiro I, Frund S, Illies F, Joseph M, Kaitila I, Lama G, Loirat C, Mcleod DR, Milford DV, Petty EM, Rodrigo F, Saraiva JM, Schmidt B, Smith GC, Spranger J, Stein A, Thiele H, Tizard J, Weksberg R, Lupski JR, Stockton DW (2002) Mutant chromatin remodelling protein SMARCAL1 causes Schimke immunoosseous dysplasia. Nat Genet 30:215–220
Lou S, Lamfers P, McGuire N, Boerkoel CF (2002) Longevity in Schimke immunoosseous dysplasia. J Med Genet 39:922–925
Makker SP (2004) Membranous nephropathy. In: Avner ED, Harmon WE, Niaudet P (eds) Pediatric nephrology. Lippincott Williams and Wilkins, Philadelphia, p 641
Ming JE, Stiehm ER, Graham JM (2003) Syndromic immunodeficiencies: genetic syndromes associated with immune abnormalities. Crit Rev Clin Lab Sci 40:587–642
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Özdemir, N., Alpay, H., Bereket, A. et al. Membranous nephropathy in Schimke immuno-osseous dysplasia. Pediatr Nephrol 21, 870–872 (2006). https://doi.org/10.1007/s00467-006-0082-x
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DOI: https://doi.org/10.1007/s00467-006-0082-x