Patient

1

2

3

4

5

6

7

8

9

Gender

M

M

M

M

M

F

M

F

M

Agea (years)

38

62

67

62

55

61

51

65

56

Duration of diabetesa (years)

15

4

2

10

Not known

15

5

2

20

HbA1ca (%)

n.a.

5.6

n.a.

7.7

6.0

5.9

8.6

6.2

11.2

Retinopathya

n.a.

n.a.

-

-

+

+

-

-

+

Insulin therapya

+

-

+

+

-

-

-

-

-

Increase in proteinuria and/or appearance of edema

sudden

sudden

sudden

sudden

sudden

sudden

sudden

sudden

sudden

Therapy

PSL

CsA

CsA

PSL

CsA → PSL

PSL

PSL

PSL

PSL

Outcome

CR

CR

CR

CR

CR

CR

CR

CR

CR

LM

MGA

DGS

DGS

MGA

DGS

DGS

MGA

MGA

DGS

EM

GBM thickening

GBM thickening

Mesangial matrix ↑
GBM 850 nm

n.a.

No glomeruli

Mesangial matrix ↑
GBM 1000 nm

GBM 600 nm

GBM 600 nm

Mesangial matrix ↑
GBM 800 nm

Reference

[16]

[17]

[18]

[19]

[20]

[20]

[20]

[20]

[20]

aAt the time of renal biopsy.
CsA, cyclosporine A; PSL, prednisolone; CR, complete remission; DGS, diabetic glomerulosclerosis; MGA, minor glomerular abnormalities, GBM, glomerular basement membrane; n.a., not available
Table 1: Clinical and pathologic findings in patients with minimal change nephrotic syndrome superimposed on diabetic glomerulosclerosis.