Diabetic with Nephrotic Syndrome: A Case of "Masked" Membranous Nephropathy - A Case Report

Mukesh Goyal; Tushar Bahadure; Anwitha Varamudi; Megha Uppin; Alok Sharma; Sree Bhushan Raju

doi:10.4103/ijn.ijn_126_22

Diabetic with Nephrotic Syndrome: A Case of "Masked" Membranous Nephropathy - A Case Report

Indian J Nephrol. 2023 Sep-Oct;33(5):384-386. doi: 10.4103/ijn.ijn_126_22. Epub 2023 Feb 21.

Authors

Mukesh Goyal¹, Tushar Bahadure¹, Anwitha Varamudi¹, Megha Uppin², Alok Sharma³, Sree Bhushan Raju¹

Affiliations

¹ Department of Nephrology, Nizams Institute of Medical Sciences, Hyderabad, Telangana, India.
² Department of Pathology, Nizams Institute of Medical Sciences, Hyderabad, Telangana, India.
³ Department of Pathology, Lal's Path Labs, New Delhi, India.

Abstract

Distinguishing nondiabetic renal disease (NDKD) from diabetic nephropathy (DN) is of paramount importance in choosing treatment modalities and determining renal prognosis. Nearly 40% of the patients with diabetes are likely to have NDKD. We report a case of a patient with diabetes with a massive nephrotic range of proteinuria that was labeled as DN based on LM and IF, but paraffin IF confirmed the presence of masked MN.

Keywords: Diabetes; membranous nephropathy; nondiabetic kidney disease.

Publication types

Case Reports