Mitochondrial encephalopathy with lactic acidosis and stroke-like episodes syndrome with hypothyroidism and focal segmental glomerulosclerosis in a paediatric patient

Keith K. Lau, Samuel P. Yang, Maha Haddad, Lavjay Butani, Sudesh P Makker

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Herein, we report on a paediatric patient with mitochondrial encephalopathy, lactic acidosis and stroke-like episodes (MELAS) who was hospitalized for acute on chronic renal insufficiency, seizures and deterioration of the level of consciousness. She also had hypertension, hypothyroidism and nephrotic range proteinuria. Kidney biopsy revealed many sclerotic glomeruli and focal segmental glomerulosclerosis (FSGS). Glomerulopathy is rare in patients with MELAS, and FSGS has been reported only in a few patients. The histopathological features of the renal biopsy suggested that the aetiology of the FSGS may have been secondary to chronic renal injury rather than from a primary immunologic cause. Moreover, our case is unique in that, the coexistence of MELAS, hypothalamic hypothyroidism and FSGS has not been reported in the past. The purpose of this report is to increase the awareness of health-care professionals, especially in the fields of paediatrics, neurology, endocrinology and nephrology, regarding the manifestations and complications of MELAS.

Original languageEnglish (US)
Pages (from-to)941-946
Number of pages6
JournalInternational Urology and Nephrology
Volume39
Issue number3
DOIs
StatePublished - Sep 2007

Keywords

  • FSGS
  • Hypothyroidism
  • MELAS
  • Nephrotic syndrome
  • Paediatrics

ASJC Scopus subject areas

  • Nephrology
  • Urology
  • Geriatrics and Gerontology

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