title: A case report: Familial glucocorticoid deficiency associated with familial focal segmental glomerulosclerosis.
abstract: BACKGROUND
  Familial glucocorticoid deficiency (FGD) is a rare autosomal recessive disorder characterized by isolated glucocorticoid deficiency in the presence of normal plasma renin and aldosterone level. Focal segmental glomerulosclerosis (FSGS) is a form of glomerular disease associated with proteinuria and nephritic syndrome. This is the first case of familial glucocorticoid deficiency associated with familial focal segmental glomerulosclerosis.
  
  
  METHODS
  An eight month old boy presented with increased genital pigmentation. Initial investigation revealed that he was glucocorticoid deficient and was started on hydrocortisone and fludrocortisone with a diagnosis of primary adrenal insufficiency. Later fludrocortisone was withdrawn and he was diagnosed to have isolated glucocorticoid deficiency. He later developed focal segmental glomerulosclerosis for which he underwent renal transplantation at the age of five years. Now at the age of twelve years, this boy is doing well on hydrocortisone treatment. His two siblings and a first degree cousin also had isolated glucocorticoid deficiency. One of the above two siblings died due to renal failure secondary to focal segmental glomerulosclerosis.
  
  
  CONCLUSIONS
  Patients with familial glucocorticoid deficiency should be carefully followed for development of features of nephrotic syndrome.
authors.affiliation: Section of Endocrinology, Department of Medicine, Aga Khan University Hospital, Stadium Road, P,O, Box 3500, Karachi, 74800, Pakistan. nanikkhatwani@yahoo.com.
authors.forename: Nanik
authors.initials: N
authors.lastname: Ram
authors.forename: Ali
authors.initials: A
authors.lastname: Asghar
authors.forename: Najmul
authors.initials: N
authors.lastname: Islam