caa a22 4500 445882808 CHVBK 20180317145549.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10157-011-0513-2 doi (NATIONALLICENCE)springer-10.1007/s10157-011-0513-2 A case of idiopathic nodular glomerulosclerosis with fibrin caps [Elektronische Daten] [Chiharu Kinoshita, Yoshimoto Inoue, Yoko Kanda, Chiaki Kanda] We report a case of idiopathic nodular glomerulosclerosis (ING) mimicking diabetic Kimmelstiel-Wilson glomerulopathy. A 72-year-old man suffering from nephritic syndrome and renal dysfunction had no prior history of diabetes mellitus, but had impaired glucose tolerance and a history of hypertension and smoking. A kidney biopsy showed increased mesangial matrix with Kimmelstiel-Wilson-like nodules, glomerular basement membrane thickening and capillary microaneurysms. Additionally, a large amount of fibrin caps detectable as electron-dense subendothelial material by electron microscopy were observed. Although ING with fibrin caps has been rarely reported, the large number of fibrin caps seen in this case may be due to the advanced clinical stage. Japanese Society of Nephrology, 2011 Idiopathic nodular glomerulosclerosis nationallicence Fibrin cap nationallicence Kimmelstiel-Wilson lesion nationallicence Diabetic nephropathy nationallicence Electron-dense subendothelial material nationallicence Kinoshita Chiharu Division of Nephrology, Kyoto Min-Iren Chuo Hospital, 16-1 Kasuga-cho, Nishinokyo, Nakagyo-ku, 604-8453, Kyoto, Japan aut Inoue Yoshimoto Division of Nephrology, Kyoto Min-Iren Chuo Hospital, 16-1 Kasuga-cho, Nishinokyo, Nakagyo-ku, 604-8453, Kyoto, Japan aut Kanda Yoko Division of Nephrology, Kyoto Min-Iren Chuo Hospital, 16-1 Kasuga-cho, Nishinokyo, Nakagyo-ku, 604-8453, Kyoto, Japan aut Kanda Chiaki Division of Nephrology, Kyoto Min-Iren Chuo Hospital, 16-1 Kasuga-cho, Nishinokyo, Nakagyo-ku, 604-8453, Kyoto, Japan aut Clinical and Experimental Nephrology Springer Japan 15/6(2011-12-01), 937-941 1342-1751 15:6<937 2011 15 10157 https://doi.org/10.1007/s10157-011-0513-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10157-011-0513-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kinoshita Chiharu Division of Nephrology, Kyoto Min-Iren Chuo Hospital, 16-1 Kasuga-cho, Nishinokyo, Nakagyo-ku, 604-8453, Kyoto, Japan aut NATIONALLICENCE 700 1- Inoue Yoshimoto Division of Nephrology, Kyoto Min-Iren Chuo Hospital, 16-1 Kasuga-cho, Nishinokyo, Nakagyo-ku, 604-8453, Kyoto, Japan aut NATIONALLICENCE 700 1- Kanda Yoko Division of Nephrology, Kyoto Min-Iren Chuo Hospital, 16-1 Kasuga-cho, Nishinokyo, Nakagyo-ku, 604-8453, Kyoto, Japan aut NATIONALLICENCE 700 1- Kanda Chiaki Division of Nephrology, Kyoto Min-Iren Chuo Hospital, 16-1 Kasuga-cho, Nishinokyo, Nakagyo-ku, 604-8453, Kyoto, Japan aut NATIONALLICENCE 773 0- Clinical and Experimental Nephrology Springer Japan 15/6(2011-12-01), 937-941 1342-1751 15:6<937 2011 15 10157 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer