Skip to main content
Log in

Steroid-responsive nephrotic syndrome in a child with juvenile idiopathic arthritis

  • Brief Report
  • Published:
Pediatric Nephrology Aims and scope Submit manuscript

Abstract

Renal disease is rare in children with juvenile idiopathic arthritis, although a number of associated nephropathies have been described, including mesangial glomerulonephritis. We report the presence of mesangial glomerulonephritis, revealed by a nephrotic syndrome, in a paediatric patient with juvenile idiopathic arthritis. Short-term steroid treatment induced a rapid remission of the nephrotic syndrome, but the presence of anti-nuclear antibodies, 1:320 in a homogeneous pattern, irregular deposits of C1q in a renal biopsy, and a mother with episodes of cutaneous lupus suggested an uncertain renal evolution for this infant.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Miller ML, Cassidy JT (2000) Juvenile idiopathic arthritis. In: Behrman RE, Kliegman RM, Jenson HB (eds) Nelson textbook of paediatrics. Saunders, Philadelphia, pp 704–709

    Google Scholar 

  2. Adu D, Berisa F, Howie AJ, Emery P, Bancon PA, McConkey B, McGonigle RJ, Michaels J, Popert AJ (1993) Glomerulonephritis in rheumatoid arthritis. Br J Rheumatol 32:1008–1011

    Article  CAS  Google Scholar 

  3. Helin HJ, Korpela MM, Mustonen JT, Pasternack AI (1995) Renal biopsy findings and clinicopathologic correlations in rheumatoid arthritis. Arthritis Rheum 38:242–247

    Article  CAS  Google Scholar 

  4. Korpela M, Mustonen J, Teppo A-M, Helin H, Pasternack A (1997) Mesangial glomerulonephritis as an extra-articular manifestation of rheumatoid arthritis. Br J Rheumatol 36:1189–1195

    Article  CAS  Google Scholar 

  5. Breedveld FC, Valentijn RM, Westedt ML, Weening JJ (1985) Rapidly progressive glomerulonephritis with crescent formation in rheumatoid arthritis. Clin Rheumatol 4:353–359

    Article  CAS  Google Scholar 

  6. Devogelaer J-P, Pirson Y, Vandenbrouke J-M, Cosyns JP, Brichard S, Nagant de Deuxchaisnes C (1987) D-penicillamine-induced crescentic glomerulonephritis: report and review of the literature. J Rheumatol 14:1036–1041

    CAS  PubMed  Google Scholar 

  7. Deschenes G, Prieur AM, Hayem F, Broyer M, Gubler MC (1990) Renal amyloidosis in juvenile chronic arthritis: evolution after chlorambucil treatment. Pediatr Nephrol 4:463–469

    Article  CAS  Google Scholar 

  8. Foster BJ, Duffy CM, Sharma AK (1998) Systemic juvenile rheumatoid arthritis complicated by two different renal lesions. Pediatr Nephrol 12:113–116

    Article  CAS  Google Scholar 

  9. Gedalia A, Mendez EA, Craver R, Vehaskari M, Espinoza LR (2001) Renal involvement in juvenile rheumatoid arthritis: report of two cases. Clin Rheumatol 20:153–156

    Article  CAS  Google Scholar 

  10. Kari JA, Bamashmous H, Mahan JD (2002) Steroid-sensitive nephrotic syndrome and juvenile idiopathic arthritis. Pediatr Nephrol 17:975–976

    Article  Google Scholar 

  11. Dhib M, Prieur AM, Courville S, Niaudet P, François A, Godin M, Fillastre JP (1996) Crescentic glomerulonephritis in juvenile chronic arthritis. J Rheumatol 23:1636–1640

    CAS  PubMed  Google Scholar 

  12. Kasapçopur Ö, Sever L, Tasdan Y, Caliskan S, Arisoy N (1998) Hypercalciuria and hematuria in juvenile rheumatoid arthritis. J Rheumatol 25:993–996

    PubMed  Google Scholar 

  13. Göksel AK, Sever L, Kasapçopur O, Caliskan S, Balci H, Arisoy N (2005) Albuminuria and tubular markers in juvenile idiopathic arthritis. Pediatr Nephrol 20:154–158

    Article  Google Scholar 

  14. Malleson PN, Lockitch G, Mackinnon M, Mahy M, Petty R (1990) Renal disease in chronic arthritis of childhood. A study of urinary N-acetyl-beta-glucosaminidase and beta 2-microglobulin excretion. Arthritis Rheum 33:1560–1566

    Article  CAS  Google Scholar 

  15. Kordonouri O, Dracou C, Papadellis F, Touroutsika P, Muller C, Jorres A (1994) Glomerular microproteinuria in children treated with non-steroidal anti-inflammatory drugs for juvenile chronic arthritis. Clin Exp Rheumatol 12:567–571

    CAS  PubMed  Google Scholar 

  16. Cantagrel A, Pourrat J, Fournie B, Conte JJ, Fournie A (1990) Renal involvement in the course of rheumatoid polyarthritis. Rev Rheum Mal Osteoartic 57:303–307

    CAS  Google Scholar 

  17. Dantal J, Bigot E, Bogers W, Testa A, Kriaa F, Jacques Y, Hurault de Ligny B, Niaudet P, Charpentier B, Soulillou JP (1994) Effect of plasma protein adsorption on protein excretion in kidney-transplant recipients with recurrent nephrotic syndrome. N Engl J Med 330:7–14

    Article  CAS  Google Scholar 

  18. Habib R, Girardin E, Gagnadoux MF, Hinglais N, Levy M, Broyer M (1988) Immunopathological findings in idiopathic nephrosis: clinical significance of glomerular “immune deposits”. Pediatr Nephrol 2:402–408

    Article  CAS  Google Scholar 

  19. Sahali D, Pawlak A, Le Gouvello S, Lang P, Valanciute A, Remy P, Loirat C, Niaudet P, Bensman A, Guellaen G (2001) Transcriptional and post-transcriptional alterations of IkappaBalpha in active minimal-change nephrotic syndrome. J Am Soc Nephrol 12:1648–1658

    CAS  Google Scholar 

  20. Mustila A, Korpela M, Mustonen J, Helin H, Huhtala H, Soppi E, Pasternack A, Miettinen A (1997) Perinuclear antineutrophil cytoplasmic antibodies in rheumatoid arthritis: a marker of severe disease with associated nephropathy. Arthritis Rheum 40:710–717

    Article  CAS  Google Scholar 

  21. Mertens J, Huizinga TW, Hagen EC, Hollander A, Peetres AJ, Brujin JA, MacFarlane JD, Dijkmans BA (1996) Extracapillary glomerulonephritis in a patient with juvenile chronic arthritis. J Rheumatol 23:1633–1635

    CAS  PubMed  Google Scholar 

  22. Ragsdale CG, Petty RE, Cassidy JT, Sullivan DB (1980) The clinical progression of apparent juvenile rheumatoid arthritis to systemic lupus erythematosus. J Rheumatol 7:50–51

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Flavio Bandin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bandin, F., Merhenberger, M., Modesto, A. et al. Steroid-responsive nephrotic syndrome in a child with juvenile idiopathic arthritis. Pediatr Nephrol 23, 651–654 (2008). https://doi.org/10.1007/s00467-007-0678-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00467-007-0678-9

Keywords

Navigation