Which glomerular morphology findings are characteristic of pediatric nephrotic syndrome?

Updated: Mar 04, 2020
  • Author: Jerome C Lane, MD; Chief Editor: Craig B Langman, MD  more...
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Answer

MCNS indicates glomerular morphology that on light microscopic examination is little different from normal. Minimal mesangial hypercellularity may be present. Immunofluorescent microscopy (IF) usually reveals no presence of immune deposits.

Occasionally, mesangial IgM deposition may be seen on IF. Some consider the presence of IgM to indicate a separate entity (IgM nephropathy), whereas others consider this to be a variant of MCNS. The presence of IgM may indicate a more difficult course of nephrotic syndrome, with frequent relapses, steroid dependence, or steroid resistance, although the overall prognosis is still usually favorable. The only significant change seen on electron microscopy (EM) is flattening and fusion of the podocyte foot processes (effacement). [60]


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