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Frasier Syndrome

A Rare Cause of Refractory Steroid-Resistant Nephrotic Syndrome

Bibliographic Data

ID15718095
AuthorsYung‐Chieh Huang (0000-0003-2945-4404, Taichung Veterans General Hospital), Ming-Chin Tsai (0000-0002-7206-4228, Taichung Veterans General Hospital), Chi‐Ren Tsai (0000-0002-7105-823X, National Chung Hsing University), Chi-Ren Tsai (Department of Pediatrics, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 40705, Taiwan), Lin‐Shien Fu (National Yang Ming Chiao Tung University, corresponding author), Lin-Shien Fu (Department of Pediatrics, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 40705, Taiwan)
Year2021
Volume8
Issue8
Pages617-617
Publication date2021-07-21
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children8080617
PMID34438508
OpenAlexW3185550497
LanguageEN
Citations received1
References cited23

Frasier syndrome is a rare disease that affects the kidneys and genitalia. Patients who have Frasier syndrome develop nephrotic syndrome (NS) featuring focal segmental glomerulosclerosis (FSGS) that is resistant to steroid treatment in early childhood. Male patients can have female external genitalia (pseudo-hermaphroditism) at birth and develop gonado-blastoma in their adolescence. Frasier syndrome is caused by mutations in the splice donor site at intron 9 of the Wilms' tumor WT1 gene; these mutations result in an imbalanced ratio of WT1 protein isoforms and affect the development of the urogenital tract, podocyte function, and tumor suppression. Here, we report on a patient with long-term refractory NS who developed a malignant mixed germ cell tumor arising in a gonado-blastoma of the ovary 8 years after the onset of proteinuria

Biology · Focal segmental glomerulosclerosis · Genitourinary system · Glomerulosclerosis · Kidney · Minimal change disease · Nephrotic syndrome · Pathology · Proteinuria · Wilms' tumor · Medicine · Prenatal Screening and Diagnostics · Renal and related cancers · Renal cell carcinoma treatment · Endocrinology · Internal Medicine

  • WT1-Related Nephropathy in a Phenotypically Female Child

    Open Access•Mariana Costin, Eliza Cinteză et al.•Children•2025

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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