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Nail-patella-like renal disease(FSGS10; NPLRD)

MedGen UID:
Concept ID:
Disease or Syndrome
Synonyms: Focal Segmental Glomerulosclerosis 10; Glomerular basement membrane disease, nail-patella syndrome type; Salcedo syndrome
SNOMED CT: Nail patella-like renal disease (236527004)
Modes of inheritance:
Autosomal dominant inheritance
MedGen UID:
Concept ID:
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.
Gene (location): LMX1B (9q33.3)
Monarch Initiative: MONDO:0009724
OMIM®: 256020
Orphanet: ORPHA2613


Focal segmental glomerulosclerosis-10 (FSGS10) is an autosomal dominant kidney disease characterized by isolated glomerulopathy without extrarenal manifestations. In particular, affected individuals do not have other signs of NPS. The renal disease is highly variable in severity and pathology, even within the same family. Most patients present in the first decades of life with proteinuria and hematuria, although onset of symptoms can manifest at any age, including late adulthood. Some patients progress to end-stage renal disease, whereas others have a stable disease course. Light microscopic analysis of renal biopsies shows a constellation of glomerular abnormalities, including focal segmental glomerulosclerosis (FSGS), minimal change disease (MCD), and, rarely, immune complex nephropathy. Electron microscopy characteristically shows an irregular thickening of the glomerular basement membrane (GBM) with electron-lucent areas containing accumulated bundles of type III collagen fibrils. The collagen deposition usually occurs in endothelial cells of the GBM; partial effacement of podocyte foot processes may also be present. These specific pathologic findings are similar to those observed in NPS patients with nephropathy. However, these findings may not always be present, which may make the diagnosis challenging (summary by Hall et al., 2017, Lei et al., 2020; review by Harita et al., 2017). For a discussion of genetic heterogeneity of FSGS, see FSGS1 (603278). [from OMIM]

Clinical features

From HPO
Focal segmental glomerulosclerosis
MedGen UID:
Concept ID:
Disease or Syndrome
Segmental accumulation of scar tissue in individual (but not all) glomeruli.
MedGen UID:
Concept ID:
Increased levels of protein in the urine.
Renal insufficiency
MedGen UID:
Concept ID:
Disease or Syndrome
A reduction in the level of performance of the kidneys in areas of function comprising the concentration of urine, removal of wastes, the maintenance of electrolyte balance, homeostasis of blood pressure, and calcium metabolism.
Stage 5 chronic kidney disease
MedGen UID:
Concept ID:
Disease or Syndrome
A degree of kidney failure severe enough to require dialysis or kidney transplantation for survival characterized by a severe reduction in glomerular filtration rate (less than 15 ml/min/1.73 m2) and other manifestations including increased serum creatinine.
Lipoid nephrosis
MedGen UID:
Concept ID:
Disease or Syndrome
The presence of minimal changes visible by light microscopy but flattened and fused podocyte foot processes on electron microscopy in a person with nephrotic range proteinuria.

Recent clinical studies


Li X, Fan J, Fu R, Peng M, He J, Chen Q, Wang S, Chen C
Medicine (Baltimore) 2024 Mar 8;103(10):e37442. doi: 10.1097/MD.0000000000037442. PMID: 38457557Free PMC Article
Pinto E Vairo F, Pichurin PN, Fervenza FC, Nasr SH, Mills K, Schmitz CT, Klee EW, Herrmann SM
BMC Nephrol 2020 Aug 13;21(1):341. doi: 10.1186/s12882-020-02012-3. PMID: 32791958Free PMC Article
Isojima T, Harita Y, Furuyama M, Sugawara N, Ishizuka K, Horita S, Kajiho Y, Miura K, Igarashi T, Hattori M, Kitanaka S
Nephrol Dial Transplant 2014 Jan;29(1):81-8. Epub 2013 Sep 15 doi: 10.1093/ndt/gft359. PMID: 24042019
Boyer O, Woerner S, Yang F, Oakeley EJ, Linghu B, Gribouval O, Tête MJ, Duca JS, Klickstein L, Damask AJ, Szustakowski JD, Heibel F, Matignon M, Baudouin V, Chantrel F, Champigneulle J, Martin L, Nitschké P, Gubler MC, Johnson KJ, Chibout SD, Antignac C
J Am Soc Nephrol 2013 Jul;24(8):1216-22. Epub 2013 May 16 doi: 10.1681/ASN.2013020171. PMID: 23687361Free PMC Article

Clinical prediction guides

Hall G, Lane B, Chryst-Ladd M, Wu G, Lin JJ, Qin X, Hauser ER, Gbadegesin R
Sci Rep 2017 Jan 6;7:39933. doi: 10.1038/srep39933. PMID: 28059119Free PMC Article
Isojima T, Harita Y, Furuyama M, Sugawara N, Ishizuka K, Horita S, Kajiho Y, Miura K, Igarashi T, Hattori M, Kitanaka S
Nephrol Dial Transplant 2014 Jan;29(1):81-8. Epub 2013 Sep 15 doi: 10.1093/ndt/gft359. PMID: 24042019

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