Low C3 in a 4-month-old baby: is it a problem?

A 4-month-old male baby was admitted because his father and uncles had chronic kidney disease. His father was diagnosed with membranoproliferative glomerulonephritis at the age of 5, underwent a kidney transplant at the age of 22, and lost the graft due to recurrence of the disease. In contrast, the...

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Veröffentlicht in:Pediatric nephrology (Berlin, West) West), 2024-05, Vol.39 (5), p.1427-1428
Hauptverfasser: Aksoy, Gülşah Kaya, Ertosun, Mustafa Gökhan, Koyun, Mustafa, Çomak, Elif, Akman, Sema
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container_issue 5
container_start_page 1427
container_title Pediatric nephrology (Berlin, West)
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creator Aksoy, Gülşah Kaya
Ertosun, Mustafa Gökhan
Koyun, Mustafa
Çomak, Elif
Akman, Sema
description A 4-month-old male baby was admitted because his father and uncles had chronic kidney disease. His father was diagnosed with membranoproliferative glomerulonephritis at the age of 5, underwent a kidney transplant at the age of 22, and lost the graft due to recurrence of the disease. In contrast, the young uncle was diagnosed with C3 glomerulopathy and mycophenolate mofetil and eculizumab were initiated early. It was remarkable that our patient had normal kidney function and urine analyses but low serum C3 level (0.56 g/L; N, 0.9–1.8 g/L). In the disease-associated clinical exome analysis, a heterozygous change in the  CFH gene was found. The same mutation was found homozygous in the uncle. In genetically inherited diseases, findings may occur sequentially; early screening of at-risk individuals contributes to kidney survival.
doi_str_mv 10.1007/s00467-023-06228-x
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subjects Age
Biopsy
Clinical Insights
Creatinine
Glomerulonephritis
Hematuria
Hereditary diseases
Kidney diseases
Kidney transplantation
Kidney transplants
Medical prognosis
Medicine
Medicine & Public Health
Mutation
Mycophenolate mofetil
Mycophenolic acid
Nephrology
Pediatrics
Urology
title Low C3 in a 4-month-old baby: is it a problem?
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