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Oligomeganephronic renal hypoplasia with tapetoretinal degeneration

Report of one case with ultrastructural study of the renal biopsy

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Summary

Bilateral renal hypoplasia with oligomeganephronia, associated with bilateral tapetoretinal degeneration was observed in a child; this association has been reported only once before. Light, ultrastructural and immunofluorescent microscopic studies of the renal tissue were performed. The glomeruli were few and hypertrophic, with numerous mesangial cells, mesangial deposits, focal glomerular sclerosis and prominent thickened basement membrane. Two types of tubular changes were observed: focal necrosis of proximal tubules and focal atrophy of tubules surrounded by a thickened basement membrane. Mild fibrosis with few lymphocytes could be observed in the interstitium. A congenital reduction in the number of nephrons, related to a yet unknown pathological process may explain these morphological changes in part.

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References

  • Bolton WK, Benton FR, Maclay JG, Sturgill BC (1976) Spontaneous glomerular sclerosis in aging Sprague Dawley rats I Lesions associated with mesangial IgM deposits. Am J Pathol 85:277–302

    Google Scholar 

  • Brenner BM (1984) The progressive nature of renal disease. In: Kuss R, Legrain M (ed) Séminaires d'Uronéphrologie. Masson, Paris, pp 67–78

  • Callis L, Castello F, Vidal MT, de Fortuny G (1970) Hypoplasie rénale avec oligomeganephronie. Arch Fr Péd 27:267–278

    Google Scholar 

  • Couser WG, Stilmant MM (1975) Mesangial lesions and focal glomerular sclerosis in the aging rat. Lab Invest 33:491–501

    Google Scholar 

  • Cruveiller J, Bocquet L, Nghiem Minh Dung, Lafourcade J (1966) Etude clinique, biologique et anatomique d'un cas d'oligomeganephronie. Sem Hôp Paris 53:3306–3316

    Google Scholar 

  • Eklof O, Ringertz H (1976) Kidney size in children. A method of assessment. Acta Radiol 17:617–624

    Google Scholar 

  • Elfenbein IB, Baluarte J, Gruskin AB (1974) Renal hypoplasia with oligomeganephronia. Light, electron, fluorescent microscopic and quantitative studies. Arch Pathol 97:143–149

    Google Scholar 

  • Fetterman GH, Habib R (1969) Congenital bilateral oligonephronic renal hypoplasia with hypertrophy of nephrons (oligomeganephronie). Am J Clin Pathol 52:199–207

    Google Scholar 

  • Gubler MC, Broyer M, Habib R (1978) Signification des lésions de sclérose/hyalinose segmentaire et focale (S/HSF) dans la néphrose. In: CR VIIe Intern. Congress of Nephrology. Montréal, June 1978, pp 437–445

  • Hirooka M, Kubota N, Ohno T (1969) Congenital nephropathy associated with hearing loss, ocular abnormalities, mental retardation, convulsions and abnormal EEG. Tohoku J Exp Med 98:329–343

    Google Scholar 

  • Hostetter TH, Olson JL, Rennke HG, Venkatachalam MA, Brenner BM (1981) Hyperfiltration in remnant nephrons: a potentially adverse response to renal ablation. Am J Physiol 241:185–190

    Google Scholar 

  • McGraw M, Poucelle S, Sweet J, Baumal R (1984) The significance of focal glomerular sclerosis in oligomeganephronia. Int J Ped Nephrol 5:67–72

    Google Scholar 

  • Morita T, Wenzl J, McCoy J, Porch J, Kimmelstiel P (1973) Bilateral renal hypoplasia with oligomeganephronia. Am J Clin Pathol 59:104–112

    Google Scholar 

  • Royer P, Habib R, Courtecuisse V, Leclerc F (1967) L'hypoplasie rénale bilatérale avec oligomeganephronie (étude de 21 observations). Arch Fr Péd 24:249–268

    Google Scholar 

  • Salusky I, Kleinknecht C, Broyer M, Gubler MC (1981) Prolonged survival and stunting using protein deficient diets in experimental uremia. Reversal of these effects by addition of essential aminoacids. J Lab Clin Med 97:21–30

    Google Scholar 

  • Scheinman JI, Abelson HT (1970) Bilateral renal hypoplasia with oligonephronia. J Pediatr 76:369–376

    Google Scholar 

  • Shimamura T, Morrison AB (1975) A progressive glomerulosclerosis occuring in partial five–sixths nephrectomized rats. Am J Pathol 79:95–106

    Google Scholar 

  • van Acker KJ, Vincke H, Quatacker J, Senesael L, van den Brande J (1971) Congenital oligonephronic renal hypoplasia with hypertrophy of nephrons (oligonephronia). Arch Dis Child 46:321–326

    Google Scholar 

  • Waldherr R, Lennert T, Weber HP, Fodisch HJ, Scharer K (1982) The nephronophtisis complex. A clinico-pathologic study in children. Virchows Arch [Pathol Anat] 394:235–254

    Google Scholar 

  • Waldherr R, Mall G, Rossner JA, Scharer K (1975) Bilaterale Nierenhypoplasie mit Oligomeganephronie. Virchows Arch [Pathol Anat] 368:73–86

    Google Scholar 

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Janin-Mercier, A., Palcoux, J.B., Gubler, M.C. et al. Oligomeganephronic renal hypoplasia with tapetoretinal degeneration. Vichows Archiv A Pathol Anat 407, 477–483 (1985). https://doi.org/10.1007/BF00709994

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  • DOI: https://doi.org/10.1007/BF00709994

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