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Association With the Nephrotic Syndrome and Chronic Rejection

Robert B. Ettenger, MD; Eva T. Heuser, MD; Mohammad H. Malekzadeh, MD; Alfred J. Pennisi, MD; Christel H. Uittenbogaart, MD; Richard N. Fine, MD

Am J Dis Child. 1977;131(12):1347-1352.

Abstract
• Focal segmental and/or global sclerotic glomerular lesions with hyalinosis were noted in three allografts in association with the nephrotic syndrome (NS) and chronic rejection (CR). Similar lesions were absent in eight allografts with CR without NS. Previous reports have stressed the presence of this lesion in allografts with recurrence of the disease entity "idiopathic nephrotic syndrome with focal glomerulosclerosis". Both clinical and pathologic evidence suggest that recurrence was not a factor in the pathogenesis of the lesion in the three allografts with CR and NS. The presence of these lesions in failing allografts may represent the result of CR with associated NS rather than recurrence of the disease entity.

(Am J Dis Child 131:1347-1352, 1977)

Author Affiliations
From the Departments of Pediatrics (Drs Ettenger, Malekzadeh, Pennisi, Uittenbogaart, Fine) and Pathology (Dr Heuser), University of Southern California School of Medicine and Dialysis and Transplant Program and Department of Pathology, Childrens Hospital of Los Angeles.

Footnotes
Reprint requests to Dialysis and Transplant Program, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Ettenger).

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