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Nephrol Dial Transplant (2002) 17: 2249-2251
© 2002 European Renal Association-European Dialysis and Transplant Association

Case Report

Progressive dyspnoea and chest X-ray shadows in a patient with focal segmental glomerulosclerosis on haemodialysis

Johnson T. Samuel1,, Shahedlal Bari2, Michael J. Kumwenda2, Keith J. Taylor1, Mark W. Atkinson3 and Alistair F. Douglas2

1 Department of Respiratory Medicine, 2 Department of Nephrology and 3 Department of Pathology, Glan Clwyd Hospital, Rhyl, Denbighshire, UK

Keywords: cryptogenic organizing pneumonia; focal segmental glomerulosclerosis

The first 10% of the full text of this article appears below.



   Introduction
 
Focal segmental glomerulosclerosis (FSGS) is frequently treated with immunosuppressant drugs to influence progression of the disease [1]. In the immunosuppressed state, infections are common and respiratory infections when diagnosed on the basis of chest X-ray changes are often treated with antibiotics empirically before microbiological confirmation. Cryptogenic organizing pneumonia (COP) is an uncommon condition presenting with progressive dyspnoea and alveolar shadows on the chest X-ray and responds dramatically to corticosteroids [2]. Diagnosis of COP is by histology and early diagnosis and treatment result in clinical and radiological improvement. As infection is a common cause for a similar clinical . . . [Full Text of this Article]



   Case
 


   Discussion
 

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