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January 6, 2026Clinical Medicine Insights Case ReportsOpen Access

When Minimal Becomes Massive: A Case Report of Childhood-Onset Minimal Change Disease Marching to End Stage Renal Disease Despite Modern Immunotherapy

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Authors

MZMomen ZetawiSHSalameh HossamMAMalak K. Assi

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Overview

Case report describes a rare progression of minimal change disease in a child, indicating the challenges of treatment.

Key Points

  • To highlight a rare case of aggressive childhood-onset minimal change disease that progressed to end-stage renal disease.
  • Case report of a 31-year-old male diagnosed at age 2.5 with nephrotic syndrome.
  • Multiple biopsies confirmed minimal change disease with normal glomeruli and effaced podocyte processes.
  • The patient underwent prolonged corticosteroid therapy and immunosuppressants, including cyclosporine and Rituximab.
  • The patient progressed to end-stage renal disease and began maintenance hemodialysis.
  • Developed ischemic stroke at age 20.
  • Case illustrates an atypical aggressive phenotype of minimal change disease without evolving to focal segmental glomerulosclerosis.

Cite This Study

Zetawi et al. (2026) studied this question.

synapsesocial.com/papers/695d856e3483e917927a5176https://doi.org/10.1177/11795476251413414
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