Landry-Guillain-Barré-Strohl Polyneuritis and the Nephrotic Syndrome

Peters, D. K.; Sevitt, L.H.; Direkze, M.; Bayliss, S.G.

doi:10.1016/s0140-6736(73)91181-1

Cited by 24 publications

(15 citation statements)

References 3 publications

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“…Indeed, the associ ation between IDP and GN has been reported repeatedly (table 1). Membranous GN was present in the majority of patients [6][7][8]. Focal-segmental glomerulosclerosis has not been reported previously, and the present case extends the spectrum of renal involvement associated with IDP.…”

Section: Discussionsupporting

confidence: 56%

Glomerulonephritis Associated with Inflammatory Demyelinating Polyradiculoneuropathy: A Case Report and Review of the Literature

Olbricht¹,

Stark

Helmchen³

et al. 1993

Nephron

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A patient developed relapsing inflammatory demyelinating polyradiculoneuropathy associated with nephrotic syndrome. Renal biopsy showed focal-segmental glomerulosclerosis. The review of the literature disclosed that glomerulonephritis with and without nephrotic syndrome seems to be not uncommon in inflammatory demyelinating polyradiculoneuropathy, such as Guillain-Barré syndrome. Membranous glomerulonephritis is the most frequent histologic diagnosis while minimal change nephropathy, ‘acute glomerulonephritis’ and postinfectious type glomerulonephritis are not often present. This is the first case of inflammatory demyelinating polyradiculoneuropathy associated with nephrotic syndrome due to focal-segmental glomerulosclerosis. Larger prospective studies are necessary and may contribute to the understanding of the pathogenesis of both, glomerulonephritis and inflammatory demyelinating polyradiculoneuropathy.

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Section: Discussionsupporting

confidence: 56%

Glomerulonephritis Associated with Inflammatory Demyelinating Polyradiculoneuropathy: A Case Report and Review of the Literature

Olbricht¹,

Stark

Helmchen³

et al. 1993

Nephron

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“…Whether the glomerular pa thology is a response to an antigen derived from neural tissue or an exogenous antigen is responsible for the pathology in both neural and renal tissue is unclear. The outcome of the renal lesion does not always parallel the neurological outcome with some reports of persistent pro teinuria despite neurological recovery [2], Focal segmental glomerulosclerosis may occur in chil dren or adults presenting as either nephrotic syndrome or heavy proteinuria. It is usually resistant to standard short term high-dose corticosteroids, however, it may respond to more prolonged courses of corticosteroids and cyto toxic agents [9,10], The mean age of onset of focal glo merulosclerosis in adulthood is in the 2nd and 3rd decades, however, there are rare reports occurring in patients older than 70 years of age [11].…”

Section: Discussionmentioning

confidence: 96%

“…There have been at least 14 cases of membranous or 'mixed membranous-proliferative' glomerulonephritis re ported in the literature [1][2][3][4][5]. There has been a single case of minimal-change disease [6], Only 1 report of membra nous glomerulonephritis associated with chronic idio pathic demyelinating polyneuropathy has been published [7].…”

Section: Discussionmentioning

confidence: 99%

A Case of Guillain-Barre Syndrome with Focal Segmental Glomerulosclerosis

et al. 1993

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Acute inflammatory polyneuropathy or Guillain-Barre syndrome may be associated with glomerulonephritis, especially membranous nephropathy. This paper details the case of a 73-year-old woman presenting with acute onset of Guillain-Barre syndrome associated with an abnormal urinary sediment and significant proteinuria. Renal biopsy was consistent with focal segmental glomerulosclerosis. Despite an initial response to plasmapheresis, the patient’s polyneuropathy deteriorated and subsequently improved with corticosteroid therapy. Simultaneously, her proteinuria and urinary sediment also improved. This implies that this was not a chance association. A brief discussion of the association between Guillain-Barre syndrome and glomerulopathies is undertaken.

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“…Table 2 lists 13 examples of reported cases having this association. Some other cases, who had nonnephrotic proteinuria with subsequent remission, had been reported in association with improvement in the peripheral neuropathy [3,8]. These results suggest that renal involvement may be more common than previously thought.…”

Section: Discussionmentioning

confidence: 72%

“…A combination of glomerulonephritis and polyneuritis has been recognized for over 100 years [2,3]. Subtle clinical findings such as intermittent hypertension and microscopic hematuria were found in 9 cases of GBS with histological evidence of acute glomerulonephritis (AGN) in 8 patients [4,5].…”

Section: Discussionmentioning

confidence: 99%

A Case of Guillain-Barré Syndrome Developed Minimal Change Nephrotic Syndrome Simultaneously

Kitamura

Nakano²,

Kakihara³

et al. 1998

Am J Nephrol

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A case who developed Guillain-Barré syndrome (GBS) and nephrotic syndrome (NS) simultaneously is reported. In this case, the onset of nephrotic change of proteinuria coincided with the development of the neurological disturbance. Analysis of renal biopsy by light, immunofluorescent and electron microscopy showed minor glomerular abnormalities. The occurrence of GBS in association with NS is rare, and moreover most cases in the previous reports had membranous nephropathy. Only 1 case had minimal change nephrotic syndrome (MCNS). To our knowledge, this is the first report of a case beneficially treated with glucocorticoids, suggesting that immune disorder may play an important role in the association between MCNS and GBS.

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Landry-Guillain-Barré-Strohl Polyneuritis and the Nephrotic Syndrome

Cited by 24 publications

References 3 publications

Glomerulonephritis Associated with Inflammatory Demyelinating Polyradiculoneuropathy: A Case Report and Review of the Literature

Glomerulonephritis Associated with Inflammatory Demyelinating Polyradiculoneuropathy: A Case Report and Review of the Literature

A Case of Guillain-Barre Syndrome with Focal Segmental Glomerulosclerosis

A Case of Guillain-Barré Syndrome Developed Minimal Change Nephrotic Syndrome Simultaneously

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