Significant Proteinuria Caused by Posterior Nutcracker Phenomenon.
- Author:
Jun Ho LEE
1
;
Geun Jung KIM
Author Information
1. Department of Pediatrics, CHA University, CHA Bundang Medical Center, Bundang, Korea. naesusana@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Nutcracker phenomenon;
Retroaortic left renal vein;
Foot processes effacement
- MeSH:
Biopsy;
Child;
Female;
Foot;
Humans;
Proteinuria;
Ultrasonography, Doppler
- From:Journal of the Korean Society of Pediatric Nephrology
2010;14(1):84-88
- CountryRepublic of Korea
- Language:English
-
Abstract:
Posterior nutcracker phenomenon (PNP) was found to be the cause of significant proteinuria in a 10-year-old female. PNP was documented by Doppler ultrasonography and abdominal 3D CT as a cause of her proteinuria. Despite treatment with ACE inhibitor for several months, her persistent and progressive proteinuria lead us to perform a left renal biopsy, which revealed no significant finding except for focal effacement of foot processes. We speculate that nutcracker phenomenon can induce not only orthostatic proteinuria but also significant proteinuria by focal effacement of foot processes.
