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Both of these patients had impaired renal function.
Also known as the nail-patella syndrome and Fong’s disease, this is a genetic disorder of ectodermal and mesodermal tissuescharacterized by dysplastic nails, deformed elbows, small or absent patellas, and bilateral iliac horns. It is transmitted by an autosomal dominant gene withcomplete penetrance and variable expressivity, affecting males and females equally. Although the patient on the left is Black, this disorder appears almostexclusively in Caucasians. Renal disease is common and probably constitutes part of the syndrome. Histologically, the kidney shows a variety of cortical andmedullary changes.
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