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Published in: Journal of Medical Case Reports 1/2011

Open Access 01-12-2011 | Case report

Bardet-Biedl syndrome with end-stage kidney disease in a four-year-old Romanian boy: a case report

Authors: Cristina M Mihai, Jan D Marshall, Ramona M Stoicescu

Published in: Journal of Medical Case Reports | Issue 1/2011

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Abstract

Background

Bardet-Biedl syndrome is a significant genetic cause of chronic kidney disease in children. Kidney abnormalities are a major cause of morbidity and mortality in Bardet-Biedl syndrome, but the onset of end-stage renal disease at an early age and continuous ambulatory peritoneal dialysis, however, are not commonly mentioned in the literature.

Case presentation

We present the case of a four-year-old Romanian boy who presented to our department with 'febrile seizures'. After an initial evaluation, we diagnosed our patient as having hypertension, severe anemia and end-stage renal disease. He met the major and minor criteria for the diagnosis of Bardet-Biedl syndrome and underwent continuous ambulatory peritoneal dialysis.

Conclusions

Close follow-up for renal involvement in patients with Bardet-Biedl syndrome and Alström syndrome from an early age is highly recommended to prevent end-stage renal disease and so renal replacement therapy can be started immediately.
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Literature
1.
go back to reference Fogo A, Kon V: Pathophysiology of progressive renal failure. Pediatric Nephrology. Edited by: Avner ED, Harmon WE, Niadet P. 2004, Philadelphia, PA: Lippincott Williams & Wilkins, 1269-1285. 5 Fogo A, Kon V: Pathophysiology of progressive renal failure. Pediatric Nephrology. Edited by: Avner ED, Harmon WE, Niadet P. 2004, Philadelphia, PA: Lippincott Williams & Wilkins, 1269-1285. 5
2.
go back to reference Ardissino G, Daccò V, Testa S, Bonaudo R, Claris-Appiani A, Taioli E, Marra G, Edefonti A, Sereni F, ItalKid Project: Epidemiology of chronic renal failure in children: data from the ItalKid project. Pediatrics. 2003, 111: e382-e387. 10.1542/peds.111.4.e382.CrossRefPubMed Ardissino G, Daccò V, Testa S, Bonaudo R, Claris-Appiani A, Taioli E, Marra G, Edefonti A, Sereni F, ItalKid Project: Epidemiology of chronic renal failure in children: data from the ItalKid project. Pediatrics. 2003, 111: e382-e387. 10.1542/peds.111.4.e382.CrossRefPubMed
3.
go back to reference Ansley SJ, Badano JL, Blacque OE, Hill J, Hoskins BE, Leitch CC, Kim JC, Ross AJ, Eichers ER, Teslovich TM, Mah AK, Johnsen RC, Cavender JC, Lewis RA, Leroux MR, Beales PL, Katsanis N: Basal body dysfunction is a likely cause of pleiotropic Bardet-Biedl syndrome. Nature. 2003, 425: 628-633. 10.1038/nature02030.CrossRefPubMed Ansley SJ, Badano JL, Blacque OE, Hill J, Hoskins BE, Leitch CC, Kim JC, Ross AJ, Eichers ER, Teslovich TM, Mah AK, Johnsen RC, Cavender JC, Lewis RA, Leroux MR, Beales PL, Katsanis N: Basal body dysfunction is a likely cause of pleiotropic Bardet-Biedl syndrome. Nature. 2003, 425: 628-633. 10.1038/nature02030.CrossRefPubMed
4.
go back to reference Adams M, Smith UM, Logan CV, Johnson CA: Recent advances in the molecular pathology, cell biology and genetics of ciliopathies. J Med Genet. 2008, 45: 257-267. 10.1136/jmg.2007.054999.CrossRefPubMed Adams M, Smith UM, Logan CV, Johnson CA: Recent advances in the molecular pathology, cell biology and genetics of ciliopathies. J Med Genet. 2008, 45: 257-267. 10.1136/jmg.2007.054999.CrossRefPubMed
6.
go back to reference Marshall JD, Bronson RT, Collin GB, Nordstrom AD, Maffei P, Paisey RB, Carey C, Macdermott S, Russell-Eggitt I, Shea SE, Davis J, Beck S, Shatirishvili G, Mihai CM, Hoeltzenbein M, Pozzan GB, Hopkinson I, Sicolo N, Naggert JK, Nishina PM: New Alström syndrome phenotypes based on the evaluation of 182 cases. Arch Intern Med. 2005, 165: 675-683. 10.1001/archinte.165.6.675.CrossRefPubMed Marshall JD, Bronson RT, Collin GB, Nordstrom AD, Maffei P, Paisey RB, Carey C, Macdermott S, Russell-Eggitt I, Shea SE, Davis J, Beck S, Shatirishvili G, Mihai CM, Hoeltzenbein M, Pozzan GB, Hopkinson I, Sicolo N, Naggert JK, Nishina PM: New Alström syndrome phenotypes based on the evaluation of 182 cases. Arch Intern Med. 2005, 165: 675-683. 10.1001/archinte.165.6.675.CrossRefPubMed
7.
go back to reference Beales P, Elcioglu N, Woolf A, Parker D, Flinter F: New criteria for improved diagnosis of Bardet-Biedl syndrome: results of a population survey. J Med Genet. 1999, 36: 437-446.PubMedPubMedCentral Beales P, Elcioglu N, Woolf A, Parker D, Flinter F: New criteria for improved diagnosis of Bardet-Biedl syndrome: results of a population survey. J Med Genet. 1999, 36: 437-446.PubMedPubMedCentral
8.
go back to reference Ross A, PL Beales PL, Hill J: The clinical, molecular, and functional genetics of Bardet-Biedl syndrome. Genetics of Obesity Syndromes. Edited by: Beales PL, Farooqi IS, O'Rahilly S. 2008, Oxford, UK: Oxford University Press, 147-148. Ross A, PL Beales PL, Hill J: The clinical, molecular, and functional genetics of Bardet-Biedl syndrome. Genetics of Obesity Syndromes. Edited by: Beales PL, Farooqi IS, O'Rahilly S. 2008, Oxford, UK: Oxford University Press, 147-148.
9.
go back to reference Ansley SJ, Badano JL, Blacque OE, Hill J, Hoskins BE, Leitch CC, Kim JC, Ross AJ, Eichers ER, Teslovich TM, Mah AK, Johnsen RC, Cavender JC, Lewis RA, Leroux MR, Beales PL, Katsanis N: Basal body dysfunction is a likely cause of pleiotropic Bardet-Biedl syndrome. Nature. 2003, 425: 628-633. 10.1038/nature02030.CrossRefPubMed Ansley SJ, Badano JL, Blacque OE, Hill J, Hoskins BE, Leitch CC, Kim JC, Ross AJ, Eichers ER, Teslovich TM, Mah AK, Johnsen RC, Cavender JC, Lewis RA, Leroux MR, Beales PL, Katsanis N: Basal body dysfunction is a likely cause of pleiotropic Bardet-Biedl syndrome. Nature. 2003, 425: 628-633. 10.1038/nature02030.CrossRefPubMed
10.
go back to reference Kim JC, Badano JL, Sibold S, Esmail MA, Hill J, Hoskins BE, Leitch CC, Venner K, Ansley SJ, Ross AJ, Leroux MR, Katsanis N, Beales PL: The Bardet-Biedl protein BBS4 targets cargo to the pericentriolar region and is required for microtubule anchoring and cell cycle progression. Nat Genet. 2004, 36: 462-470. 10.1038/ng1352.CrossRefPubMed Kim JC, Badano JL, Sibold S, Esmail MA, Hill J, Hoskins BE, Leitch CC, Venner K, Ansley SJ, Ross AJ, Leroux MR, Katsanis N, Beales PL: The Bardet-Biedl protein BBS4 targets cargo to the pericentriolar region and is required for microtubule anchoring and cell cycle progression. Nat Genet. 2004, 36: 462-470. 10.1038/ng1352.CrossRefPubMed
11.
go back to reference Jones K: Bardet-Biedl syndrome. Smith's Recognizable Patterns of Human Malformation. Edited by: Jones KL. 1997, Philadelphia, PA: W.B. Saunders, 590-591. 5 Jones K: Bardet-Biedl syndrome. Smith's Recognizable Patterns of Human Malformation. Edited by: Jones KL. 1997, Philadelphia, PA: W.B. Saunders, 590-591. 5
12.
go back to reference Somwanshi PR, Nikam SH, Patni PD: Laurence Moon Biedl Bardet syndrome. J Assoc Physician India. 1988, 36: 333-335. Somwanshi PR, Nikam SH, Patni PD: Laurence Moon Biedl Bardet syndrome. J Assoc Physician India. 1988, 36: 333-335.
13.
go back to reference Pal S, Bhattacharyya AR: Laurence-Moon-Bardet-Biedl syndrome. J Indian Med Assoc. 1995, 93: 391-393.PubMed Pal S, Bhattacharyya AR: Laurence-Moon-Bardet-Biedl syndrome. J Indian Med Assoc. 1995, 93: 391-393.PubMed
14.
go back to reference Prakash EB: Bardet Biedl syndrome. J Assoc Physician India. 2005, 53: 781- Prakash EB: Bardet Biedl syndrome. J Assoc Physician India. 2005, 53: 781-
15.
go back to reference Gupta S, Goel D, Singhal A: A rare presentation of Bardet-Biedl syndrome with renal failure, severe osteodystrophy and multiple fractures. Indian J Hum Genet. 2005, 11: 159-160. 10.4103/0971-6866.19538.CrossRef Gupta S, Goel D, Singhal A: A rare presentation of Bardet-Biedl syndrome with renal failure, severe osteodystrophy and multiple fractures. Indian J Hum Genet. 2005, 11: 159-160. 10.4103/0971-6866.19538.CrossRef
16.
go back to reference Rathi M, Ganguli A, Singh SK, Kohli HS, Gupta KL, Sakhuja V, Jha V: Bardet-Biedl syndrome with end-stage kidney disease: a case report and review of literature. Indian J Nephrol. 2007, 17: 10-13. 10.4103/0971-4065.35014.CrossRef Rathi M, Ganguli A, Singh SK, Kohli HS, Gupta KL, Sakhuja V, Jha V: Bardet-Biedl syndrome with end-stage kidney disease: a case report and review of literature. Indian J Nephrol. 2007, 17: 10-13. 10.4103/0971-4065.35014.CrossRef
17.
go back to reference Hooda AK, Karan SC, Bishnoi JS, Nandwani A, Sinha T: Renal transplant in a child with Bardet-Biedl syndrome: a rare cause of end-stage renal disease. Indian J Nephrol. 2009, 19: 112-114. 10.4103/0971-4065.57108.CrossRefPubMedPubMedCentral Hooda AK, Karan SC, Bishnoi JS, Nandwani A, Sinha T: Renal transplant in a child with Bardet-Biedl syndrome: a rare cause of end-stage renal disease. Indian J Nephrol. 2009, 19: 112-114. 10.4103/0971-4065.57108.CrossRefPubMedPubMedCentral
18.
go back to reference O'Dea D, Parfrey PS, Harnett JD, Hefferton D, Cramer BC, Green J: The importance of renal impairment in the natural history of Bardet-Biedl syndrome. Am J Kidney Dis. 1996, 27: 776-783. 10.1016/S0272-6386(96)90513-2.CrossRefPubMed O'Dea D, Parfrey PS, Harnett JD, Hefferton D, Cramer BC, Green J: The importance of renal impairment in the natural history of Bardet-Biedl syndrome. Am J Kidney Dis. 1996, 27: 776-783. 10.1016/S0272-6386(96)90513-2.CrossRefPubMed
19.
go back to reference Hurley RM, Dery P, Norady MB, Drummond KN: The renal lesion of the Laurence- Moon-Biedl syndrome. J Pediatr. 1975, 87: 206-209. 10.1016/S0022-3476(75)80580-4.CrossRefPubMed Hurley RM, Dery P, Norady MB, Drummond KN: The renal lesion of the Laurence- Moon-Biedl syndrome. J Pediatr. 1975, 87: 206-209. 10.1016/S0022-3476(75)80580-4.CrossRefPubMed
20.
go back to reference Price D, Gartner G, Kaplan BS: Ultrastructural changes in the glomerular basement membrane of patients with Laurence-Moon-Biedl syndrome. Clin Nephrol. 1981, 16: 283-288.PubMed Price D, Gartner G, Kaplan BS: Ultrastructural changes in the glomerular basement membrane of patients with Laurence-Moon-Biedl syndrome. Clin Nephrol. 1981, 16: 283-288.PubMed
Metadata
Title
Bardet-Biedl syndrome with end-stage kidney disease in a four-year-old Romanian boy: a case report
Authors
Cristina M Mihai
Jan D Marshall
Ramona M Stoicescu
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-5-378

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