Imerslund-Gräsbeck Syndrome in two Brothers: Renal Biopsy and Ultrastructural Findings

Abstract

In two Chinese siblings with Imerslund-Gräsbeck syndrome, light microscopy of renal biopsies showed no remarkable change. Ultrastructurally, there were small possible focal defects in the glomerular basement membrane. Neither podocytes nor tubular cells showed evident change. No electron dense deposit was found. Our observations on renal ultrastructure differ from the previous five reports. The literature on renal pathology of this syndrome is reviewed.

Key Words:

• Imerslund syndrome
• megaloblastic anemia
• proteinuria
• renal ultrastructure
• vitamin B₁₂ malabsorption