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At this time, a diagnosis of SIOD was considered in pediatric genetic consultation with the clinical findings.
Although hypertension, hyperlipidemia, proteinuria and ESRD which were also found in our patient are significant risk factors for atherosclerosis, symptoms of cerebrovascular ischemia have been observed in patients with SIOD even before renal disease started (13).
Conclusively, SIOD should be considered especially in patients with steroid-resistant nephrotic syndrome displaying disproportionate growth failure and other common and life-threatening findings should be investigated.