ALTHOUGH.LTHOUGH there are several reported cases of unilateral anterior tibial syndrome, only three reported cases of a bilateral anterior tibial syndrome could be found.1-3 The following is a report of a fourth case, occurring in unique combination with the nephrotic syndrome.
Report of a Case
A 43-year-old white man was admitted to Mercy Hospital on Oct 28, 1962, complaining of a gradual onset of edema involving both lower extremities, scrotum, abdomen, face, and hands. The past history was negative for specific allergies, previous renal disease, or rheumatic fever. There was a questionable history of scarlet fever at age 17.Physical examination revealed bilateral pitting edema of the feet, ankles, pretibial areas, and scrotal and suprapubic areas. Abdominal distention with evidence of shifting dulness and a fluid wave was noted. The femoral arterial pulses were palpable but decreased in intensity. The popliteal, posterior tibialis and the dorsalis pedis pulses were