Nephrotic syndrome and Guillan-Barré Syndrome: a rare association in child.

Autor(es): Bouyahia Olfa; Khelifi Ibtissem; Gharsallah Lamia; Harzallah Kais; Mrad Sonia Mazigh; Ghargah Tahar; Boukthir Samir; Azza Sammoud El Gharbi

Resumo: Only few cases of nephrotic syndrome associated with Guillain-Barre Syndrome (GBS) have been reported in the adult and pediatric literature. A 3-year-old boy was initially admitted to our hospital following five days of progressive weakness of his extremities, fatigue, right leg pain and numbness. There was no past history of renal or neurological disease. Cerebro-spinal fluid studies showed a protein level of 92 mg/dL and a white cell count of 1 per high-power field. The diagnosis of GBS was verified with a nerve conduction velocity test as well as. The GBS symptoms improved gradually on intravenous immunoglobulin. Three weeks later, he developed severe proteinuria and edema; laboratory investigation showed nephrotic syndrome which responded to steroid therapy. Renal biopsy showed minimal change glomerulonephritis. He remained free of proteinuria during his 20 months of follow-up.

Imprenta: Saudi Journal of Kidney Diseases and Transplantation, v. 21, n. 1, p. 135-137, 2010

Descritores: Guillain-Barre Syndrome - Cell ; Guillain-Barre Syndrome - Pathogenesis ; Guillain-Barre Syndrome - Proteins ; Guillain-Barre Syndrome - Antibodies ; Guillain-Barre Syndrome - Clinical examination

Data de publicação: 2010