Focal segmental glomerulosclerosis differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Differentiating Focal segmental glomerulosclerosis from other Diseases

Other renal causes of nephrotic syndrome should be in the differential diagnosis of focal segmental glomerulosclerosis (FSGS). Secondary causes of FSGS should also be ruled out before the diagnosis of primary (idiopathic) FSGS is made.

Segmental sclerosis may be seen in other renal diseases, such as[1]:

  • IgA nephropathy
  • IgM nephropathy
  • C1q nephropathy
  • Crescentic necrotizing glomerulonephritis
  • Diabetic nephropathy
  • Membranous nephropathy
Notably also, the pathological appearance of tip lesions is not specific. Other diseases that might show tip lesions include[2]:
  • Minimal change disease
  • IgA nephropathy
  • Membranous nephropathy
  • Diabetic glomerulosclerosis

References

  1. Thomas DB (2009). "Focal segmental glomerulosclerosis: a morphologic diagnosis in evolution". Arch Pathol Lab Med. 133 (2): 217–23. doi:10.1043/1543-2165-133.2.217. PMID 19195965‎ Check |pmid= value (help).
  2. D'Agati V (2003). "Pathologic classification of focal segmental glomerulosclerosis". Semin Nephrol. 23 (2): 117–34. doi:10.1053/snep.2003.50012. PMID 12704572.

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