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    A 42-year patient with nephrotic syndrome was presented because of bilateral chemosis. The diagnosis was based on physical examination

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    A 42-year patient with nephrotic syndrome was presented because of bilateral chemosis. The diagnosis was based on physical examination

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    © All Rights Reserved
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    13 views2 pages

    Aqueous Chemosis Rare Complication in Nephrotic

    Uploaded by

    International Journal of Innovative Science and Research Technology
    A 42-year patient with nephrotic syndrome was presented because of bilateral chemosis. The diagnosis was based on physical examination

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Volume 6, Issue 6, June – 2021 International Journal of Innovative Science and Research Technology

    ISSN No:-2456-2165

    Aqueous Chemosis: Rare Complication in Nephrotic


    Syndrome in Adults
    A.Benjaafar , K.Sebti(1) ; L.Benamar (1) ; L. El Kaissoumi (2)
    N .Ouzeddoun ; R. Bayahia (1) ;T.Bouattar (1). (2)
    Ophthalmology A, Specialties Hospital,
    (1):
    Nephrology Department, Ibn Sina Hospital Mohamed V University
    Mohamed V University Rabat, Morocco
    Rabat, Morocco

    Abstract:- A 42-year patient with nephrotic syndrome Biomicroscopic ophthalmologic examination revealed
    was presented because of bilateral chemosis. The the presence of bilateral aqueous chemosis (Fig:1), non-
    diagnosis was based on physical examination , In the inflammatory, more pronounced in the left eye, The anterior
    biological assessment, there is a hypo albuminemia, segment was calm, and the fundus recovered papillae with
    nephrotic proteinuria , and an active urinary sediment, sharp contours of normal staining, physiological excavation,
    with renal function was preserved. The and the macula was unremarkable in ODG.
    anatomopathological study of kidney biopsy puncture
    (KBP) objectified: extra capillary glomerulonephritis . The anatomopathological study of KBP objectified:
    The course was marked by the regression of the aqueous extra capillary glomerulonephritis with endocapillary lesions
    chemosis after the treatment of glomerulonephritis . with linear deposits of IGg and C3.

    Keywords:- Chemosis; Nephrotic Syndrome, Extracapillary The diagnosis of extra capillary glomerulonephritis was
    Glomerulonephritis . retained, and led to the administration of a bolus of
    methylprednisolone, followed by 6 boluses of
    I. INTRODUCTION cyclophsphamide, a diuretic treatment and an anti-thrombotic
    treatment, with good progress. clinico-biological and in
    Aqueous chemosis or white chemosis is a rare and particular a regression of bilateral chemosis.
    reversible complication of nephrotic syndrome. We report the
    case of a 42-year-old patient presenting with nephrotic III. DISCUSSION
    syndrome and in whom the ophthalmologic examination
    found bilateral aqueous chemosis falling within the Chemosis is a rare and unusual complication of
    anasarchus picture in which the patient presented. nephrotic syndrome. [1

    II. CASE REPORT A similar case has been reported in the literature in a
    15-year-old child with severe nephrotic syndrome [2].
    A 42-year-old patient, with no pathological history, was
    presented to the emergency room in a state of anasark Aqueous chemosis, or conjunctival edema, may be
    associating a bilateral aqueous chemosis more marked on the inflammatory or non-inflammatory. Non-inflammatory
    left. chemosis is most often secondary to an allergic reaction.

    General clinical examination found edema of the lower Frequently asymptomatic, as is the case with our
    limbs, pleural effusion syndrome, with high blood pressure. patient. However, it can manifest as irritation, tearing,
    pruritus or sometimes even diplopia.
    In the biological assessment, there is a hypoproteinemia
    at 35g / l, deep hypo albuminemia at: 17g / l, nephrotic As part of the syndrome, it seems that chemosis is
    proteinuria: 15g / 24h and an active urinary sediment, with secondary to fluid retention secondary to hypoprotidemia. No
    renal function was preserved, as well as the C3, C4 fraction local treatment would be indicated and the regression of
    of the complement which was normal, the immunological chemosis would be done in parallel with the regression of the
    workup was negative. generalized edematous syndrome [1].

    IJISRT21JUN613 www.ijisrt.com 818


    Volume 6, Issue 6, June – 2021 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165
    IV. CONCLUSION

    Aqueous chemosis in nephrotic syndrome is a rare but


    benign complication. It would be secondary to the fluid
    retention due to hypoprotidemia, and no local treatment is
    indicated, the regression of chemosis would be concomitant
    with the disappearance of the clinical-biological nephrotic
    syndrome.

    Fig 1 : aqueous chemosis on admission

    REFERENCES

    [1]. Garibotto G, Giannoni M, Salvatore FComplications of


    nephrotic syndrome. G Ital Nefrol 20,2003, (1):49–60.
    [2]. Jankauskiene, A. & Buteikiene, I. Eur J Pediatr ,2009,
    168:507. https://doi.org/10.1007/s00431-008- 0795-x.

    IJISRT21JUN613 www.ijisrt.com 819

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