Fig. 3From: PKD1-associated autosomal dominant polycystic kidney disease with glomerular cysts presenting with nephrotic syndrome caused by focal segmental glomerulosclerosisMicroscopic findings of the second renal biopsy at the age of 23. Glomerular sclerosis had progressed compared to 4 years ago (panels a and c: periodic acid-Schiff stain; panels b and d: periodic acid-methenamine-silver stain). Greater number of segments were adherent to the Bowman’s capsules (panels a and b), some of which endorsed fibrous crescents (panel b). Glomerular collapse and widening of Bowman’s capsules had also progressed and were forming glomerular cysts (panels c and d). Immunofluorescence microscopy demonstrated IgM deposition in segmental sclerotic lesions of the glomeruli (panel e). Electron microscopy revealed diffuse foot process fusion (panel f)Back to article page