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Congenital nephrotic syndrome in an infant with ALG1-congenital disorder of glycosylation
Journal article   Peer reviewed

Congenital nephrotic syndrome in an infant with ALG1-congenital disorder of glycosylation

Lyndsay A Harshman, Bobby G Ng, Hudson H Freeze, Pamela Trapane, Anna Dolezal, Patrick D Brophy and Jane E Brumbaugh
Pediatrics international, Vol.58(8), pp.785-788
08/2016
DOI: 10.1111/ped.12988
PMCID: PMC4996748
PMID: 27325525

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Abstract

Congenital nephrotic syndrome (NS) in the newborn is most frequently related to mutations in genes specific for structural integrity of the glomerular basement membrane and associated filtration structures within the kidney, resulting in massive leakage of plasma proteins into the urine. Occurrence of congenital NS in a multi-system syndrome is less common. We describe the case of an infant with deteriorating neurological status, seizures, edema, and proteinuria who was found to have a mutation in gene ALG1 and a renal biopsy consistent with congenital NS. Furthermore, we briefly review rare existing case reports documenting congenital NS in patients with mutations in ALG1, and treatment strategies, including novel use of peritoneal dialysis.
Humans Nephrotic Syndrome - metabolism Abnormalities, Multiple Male Glycosylation Nephrotic Syndrome - genetics Congenital Disorders of Glycosylation - metabolism Mannosyltransferases - genetics DNA - genetics Peritoneal Dialysis DNA Mutational Analysis Mannosyltransferases - metabolism Nephrotic Syndrome - therapy Mutation Congenital Disorders of Glycosylation - genetics Infant, Newborn

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