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NDT Plus. 2010 Oct;3(5):443-6. doi: 10.1093/ndtplus/sfq108. Epub 2010 Jun 16.

Coincidental finding of Fabry's disease in a patient with IgA nephropathy.

NDT plus

Tomoko Kakita, Katsuyuki Nagatoya, Tatsuhiko Mori, Masahisa Kobayashi, Toru Inoue

Affiliations

  1. Department of Nephrology , Osaka Medical College , 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686 , Japan.
  2. Department of Pediatrics , The Jikei University School of Medicine , 3-25-8 Nishishinbashi, Minato-ku, Tokyo 105-8461 , Japan.

PMID: 25984048 PMCID: PMC4421683 DOI: 10.1093/ndtplus/sfq108

Abstract

We present the case of a woman with IgA nephropathy and concomitant Fabry's disease. She was referred to our hospital with proteinuria and haematuria. A renal biopsy showed findings indicating IgA nephropathy under light and immunofluorescence microscopy. Electron microscopy, however, showed laminated inclusion bodies characteristic of Fabry's disease. The α-galactosidase activity in her serum was low, and the diagnosis of Fabry's disease was confirmed by genetic analysis. Fabry's disease in a patient with IgA nephropathy is a very rare occurrence, and Fabry's disease diagnosed only by electron microscopy has not been previously reported.

Keywords: Fabry’s disease; IgA nephropathy; heterozygous female

References

  1. Circulation. 2009 Feb 3;119(4):524-9 - PubMed
  2. Pediatr Nephrol. 2006 Sep;21(9):1251-6 - PubMed
  3. J Inherit Metab Dis. 2007 Jun;30(3):365-9 - PubMed
  4. Clin Nephrol. 1996 May;45(5):289-94 - PubMed
  5. Kidney Int. 2006 Apr;69(7):1216-21 - PubMed
  6. Nihon Jinzo Gakkai Shi. 1994 Nov;36(11):1303-7 - PubMed
  7. J Urol Nephrol (Paris). 1968 Sep;74(9):694-5 - PubMed
  8. Clin Nephrol. 1997 Feb;47(2):71-5 - PubMed

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