Abstract
Renal involvement in spondyloarthritis is rare and it is dominated by AA
amyloidosis, IgA nephropathy and urolithiasis. Other nephropathies are
rare and are limited to few case reports. Description of the
case: we report a case of a patient followed for axial SpA who
developed a focal segmental glomerulosclerosis and hyalinosis. Indeed,
he consults after being lost to follow-up for 3 years with edema of the
2 lower limbs associated with a hydrocele and a bilateral pleural
effusion of low abundance. A FSGS was confirmed by renal biopsy and the
etiological investigation has ruled out the causes of secondary FSGS.Conclusion: Although renal involvement is rare in SpA,
screening those patients in order to early detect any renal impairment
is important during disease monitoring.