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Images in Clinical Medicine
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Volume 341:1807 December 9, 1999 Number 24
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Cystine Crystals in Fanconi's Syndrome

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Figure 1. A 37-year-old man died of massive gastrointestinal bleeding from esophageal varices caused by biopsy-proved cirrhosis due to hepatitis C virus. He had been given a diagnosis of Fanconi's syndrome at the age of one year, when he presented with failure to thrive. The infantile form of cystinosis was diagnosed at the age of 13 years when a slit-lamp examination of the corneas, performed because of visual impairment, demonstrated cystine crystals. He was treated with sodium bicarbonate and vitamin D supplementation, but rickets developed. Despite receiving four renal transplants, the first at the age of 14 years, he . . . [Full Text of this Article]

 



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