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Nephrotic syndrome in a young female patient as a presentation of MYH9-related disease – a case report

Aneta Monika Paczula1, Grzegorz Piecha2

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Pediatr Med Rodz 2024; 20 (4): 438–441
DOI: 10.15557/PiMR.2024.0068
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Abstract

MYH9-related disease is a genetic disorder of autosomal dominant inheritance caused by mutations in the MYH9 gene on chromosome 22q12, which encodes the non-muscle myosin heavy chain IIA (NMMHC-IIA). The disorder is characterised by congenital thrombocytopaenia, giant platelets, hearing impairment, nephropathy, and early cataract. The frequency of MYH9-related disease is unknown, as the condition is underdiagnosed, but it has been estimated to occur in 1 in 20,000–25,000 individuals. The case report concerns a 28-year-old female who was initially diagnosed with Bernard–Soulier syndrome, and it took several years to find the correct diagnosis. The diagnosis of MYH9-related disease is often delayed. It should be considered in any patient with a variable degree of glomerular involvement associated with a low or slightly decreased platelet count and/or hearing loss, cataract, and liver dysfunction.

Keywords
nephrotic syndrome, MYH9-related disease, congenital thrombocytopaenia

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