TY - CHAP M1 - Book, Section TI - Focal Segmental Glomerulosclerosis A1 - Trachtman, Howard A1 - Gipson, Debbie S. A2 - Lerma, Edgar V. A2 - Rosner, Mitchell H. A2 - Perazella, Mark A. PY - 2017 T2 - CURRENT Diagnosis & Treatment: Nephrology & Hypertension, 2e AB - ESSENTIALS OF DIAGNOSISFocal segmental glomerulosclerosis (FSGS) can be primary or secondary.Diagnosis requires the presence of the characteristic histopathologic lesion.Genetic abnormalities in podocyte proteins may account for 25% of primary FSGS in high-risk populations.The presenting complaint is usually proteinuria or nephrotic syndrome.Nearly 50% of cases progress to end-stage renal disease (ESRD) over 5–10 years and disease recurs in up to 20% of those who receive a kidney transplant.Failure to respond to corticosteroid treatment is a poor prognostic sign and there is no proven therapy in these patients. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=1149113826 ER -