Scleroderma is a connective tissue disorder characterized by fibrosis of the skin, vessels and internal organs (gastrointestinal tract, lung, heart, and kidney etc.). Renal involvement in scleroderma has a clinical manifestation from subnephrotic proteinuria to renal crisis accompanied by hypertension, and shows a typical histology of intimal proliferation and fibrinoid necrosis of blood vessel without primary glomerular pathology. We experienced a case of nephrotic syndrome in a 31-old-female patient with sclerodema. But the patient has not showed a clinical feuture of hypertension or renal crisis, moreover, renal biopsy of the patient showed global sclerosis and crescent formation in the glomeruli without vessel involvement. We report this case with a brief review of literature.
Biopsy ; Blood Vessels ; Connective Tissue ; Fibrosis ; Glomerulonephritis ; Heart ; Humans ; Hypertension ; Kidney ; Lung ; Necrosis ; Nephrotic Syndrome* ; Pathology ; Proteinuria ; Sclerosis ; Skin