Nodular glomerulosclerosis in patients' without history of diabetes mellitus: a case report.
BACKGROUND
Diabetic nephropathy can occur during the course of both type1 and type 2 diabetes mellitus. The characteristic lesions are diffuse or nodular (Kimmelsteil-Wilson) diabetic glomerulosclerosis. The reported cases represent unusual presentations of diabetes mellitus.


METHODS
We report the case of a 49-year-old man without prior history of diabetes mellitus who presented with rapidly progressive renal failure and whose renal biopsy revealed nodular (Kimmelsteil-Wilson) glomerulosclerosis lesions characteristic of diabetes.


CONCLUSIONS
Renal manifestations of diabetes mellitus may antedate other more common presenting symptoms of this disease and we critically review the literature on this subject.
Helal
Imed
I
Department of Internal Medicine A and Laboratory of Kidney Pathology 02, Charles Nicolle Hospital Boulevard 9 Avril. 1006 Tunis Tunisia. imedhelal@voila.fr
Goucha
Rym
R
Karoui
Cyrine
C
Abderrahim
Ezzedine
E
Hamida
Fethi Ben
FB
Elyounsi
Fethi
F
Maiz
Hedi Ben
HB
Abdallah
Taieb Ben
TB
Kheder
Adel
A