J Korean Pediatr Soc.
2000 Jul;43(7):978-982.
Two Cases of Thin Basement Membrane Nephropathy presented with Minimal
Change Nephrotic Syndrome
- Affiliations
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- 1Department of Pediatrics, Asan Medical Center.
- 2Department of Diagnostic Pathology, Asan Medical Center.
- 3Department of Pediatrics, Ulsan University Hospital, College of Medicine, University of Ulsan.
Abstract
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Thin basement membrane nephropathy(TBMN) is defined histologically as follows: 1) By light
rnicroscopy only minor abnormalities are detected in the glomeruli at most minor mesangial
widening. 2) By electron microscopy, diffuse thinning of glomerular basement rnembrane is
demonstrated. 3) By immunofluorescence, absence of immunoglobulins and complement components
is demonstrated. 4) Alport's syndrome and systemic diseases that may affect the glomerular
structure have been excluded. TBMN presented frequently with recurrent or persistent
microscopic hematuria. Massive proteinuria such as in nephrotic syndrome rarely occurs in
TBMN. We reported two cases of TBMN presented with typical minimal change nephrotic syndrome.