An unusual cause of renal failure; Epstein syndrome

• Main Authors: Balwani Manish R, Engineer Divyesh P, Gumber Manoj R, Kute Vivek B, Singh Rajesh, Patel Himanshu V, Vanikar Aruna V, Gera Dinesh, Shah Pankaj R, Trivedi Hargovind L
• Format: Article
• Language: English
• Published: Society of Diabetic Nephropathy Prevention 2016-01-01
• Series: Journal of Nephropharmacology
• Subjects: Epstein Syndrome; Chronic kidney disease; Megathrombocytopenia; Hemodialysis; Deafness
• Online Access: http://www.jnephropharmacology.com/PDF/NPJ-5-63.pdf

Epstein syndrome constitutes macrothrombocytopenia without neutrophil inclusion bodies along with deafness and renal failure. A diagnosis of Epstein syndrome was made in a 17 year-old-male patient with macrothrombopathic thrombocytopenia, renal failure and sensorineural hearing loss. Our patient is unique as he presented with rapidly progressive renal failure and developed chronic kidney disease in second decade of life with no symptomatic hearing loss or bleeding tendency. Epstein syndrome needs to be differentiated from Alport syndrome which is more common disease with similar clinical presentation.