case_images: PMC9424543_01
case_images: (A) Insignificant pathological findings in H&E staining and direct immunofluorescence staining. Scale bar: 100 mum. (B) Extensive podocyte foot process effacement (arrow) in patient's kidney biopsied samples. (Electron microscopy image).
case_images: fmed-09-844004-g001.jpg
case_images: PMC9424543_01_fmed-09-844004-g001.jpg
case_images: F1
case_images: Pathology revealed no glomerular lesion or tubular injury and no immune deposits; however, extensive podocyte effacement and microvilli transformation confirmed an MCD diagnosis (Figure 1).
case_images: Illustration of the disease course by showing daily protein loss and serum albumin levels of the patient after 2 weeks of the second dose of the Moderna COVID-19 vaccine. Week 0: start prednisolone treatment (1 mg/kg/day).
case_images: fmed-09-844004-g002.jpg
case_images: PMC9424543_01_fmed-09-844004-g002.jpg
case_images: F2
case_images: The patient achieved partial remission (50% reduction from the initial value of 24-h urine protein) at 2 weeks and complete remission (urine protein excretion < 0.3g/day) at 10 weeks of steroid use (Figure 2).