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 CASE REPORT
Year : 2015  |  Volume : 25  |  Issue : 6  |  Page : 362-365

Co-existence of classic familial lecithin-cholesterol acyl transferase deficiency and fish eye disease in the same family


Department of Nephrology, PGIMER, Dr. Ram Manohar Lohia Hospital, New Delhi, India

Correspondence Address:
S Ramanarayanan
Department of Nephrology, PGIMER, Dr. Ram Manohar Lohia Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.157802

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We report a family with a rare genetic disorder arising out of mutation in the gene that encodes for the enzyme lecithin-cholesterol acyltransferase (LCAT). The proband presented with nephrotic syndrome, hemolytic anemia, cloudy cornea, and dyslipidemia. Kidney biopsy showed certain characteristic features to suggest LCAT deficiency, and the enzyme activity in the serum was undetectable. Mother and younger sister showed corneal opacity and dyslipidemia but no renal or hematological involvement. These two members had a milder manifestation of the disease called fish eye disease. This case is presented to emphasize the importance of taking family history and doing a good clinical examination in patients with nephrotic syndrome and carefully analyze the lipid fractions in these subset of patients.






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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07