-transparent.png){kind=logo}
A 66-year-old white man presented with severe chronic renal failure. He had no past or present symptomatic glucose intolerance nor a family history of diabetes mellitus. Several fasting plasma glucose determinations, hemoglobin Alc and an oral glucose tolerance test were normal. Funduscopic ophthalmoscopy and retinal fluorescein angiography did not demonstrate diabetic retinopathy. The kidney biopsy showed nodular diabetic nephropathy, with increased mesangial matrix, thickened glomerular basement membrane, and afferent and efferent glomerular arteriolar hyalinization. The diagnosis of nodular diabetic nephropathy was made in this patient in the absence of past or present or familial evidence of diabetes mellitus.
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
October 2005,
Clinical nephrology,
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
December 1988,
Deutsche medizinische Wochenschrift (1946),
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
December 1971,
Klinische Wochenschrift,
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
January 1997,
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association,
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
December 1988,
Southern medical journal,
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
January 2002,
Nephron,
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
January 1990,
International urology and nephrology,
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
February 2007,
Nephrology (Carlton, Vic.),
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
October 2002,
Nihon Jinzo Gakkai shi,
E C da Silva, and
L B Saldanha, and
M S Pestalozzi, and
I J del Bueno, and
R T Barros, and
M Marcondes, and
I Nussenzveig
July 1966,
The New England journal of medicine,
