Chronic kidney disease in an adult with propionic acidemia

Research output: Chapter in Book/Report/Conference proceedingChapter

10 Scopus citations

Abstract

We report an adult male with classic propionic acidemia (PA) who developed chronic kidney disease in the third decade of his life. This diagnosis was recognized by an increasing serum creatinine and confirmed by reduced glomerular filtration on a 99mTc-diethylenetriamine pentaacetate (DTPA) scan. Histopathology of the kidney showed moderate glomerulo- and tubulointerstitial fibrosis with very segmental mesangial IgA deposits. This is the second reported case of kidney disease in an individual with propionic acidemia possibly indicating that chronic kidney disease may be a late-stage complication of propionic acidemia. Additionally, this is the first description of the histopathology of kidney disease in an individual with propionic acidemia. As more cases emerge, the clinical course and spectrum of renal pathology in this disorder will be better defined.

Original languageEnglish (US)
Title of host publicationJIMD Reports
PublisherSpringer
Pages5-10
Number of pages6
DOIs
StatePublished - 2014

Publication series

NameJIMD Reports
Volume12
ISSN (Print)2192-8304
ISSN (Electronic)2192-8312

Keywords

  • Celiac disease
  • Chronic kidney disease
  • Intellectual disability
  • Kidney biopsy
  • Propionic acidemia

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Biochemistry, Genetics and Molecular Biology (miscellaneous)

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