adul thood. We have not encounte red a report of a pat ient diagnosed by biopsy who presented within the first year of life. Glucosuria, aminoacidur ia , phosphatur ia , and uricosuria were all present in this patient. Distal tubular functions of acidification and concent ra t ion were grossly intact. Hematur i a and a lbuminur i a are the major clinical findings in patients with heredi tary nephrit is : however, it does not seem surprising that some tubu la r dysfunct ion may occur with such extensive changes of the tubu la r basement membrane . This report suggests that some patients with heredi tary nephri t is may have an associated Fanconi syndrome. This finding may be of par t icular impor tance in early childhood when supplements of v i tamin D and b icarbonate may be prescribed as needed. R E F E R E N C E S
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