Fibrillar collagen in the glomeruli is considered specific of the nail
-patella syndrome. A new nephropathy with diffuse intraglomerular depo
sition of type III collagen without nail and skeletal abnormalities ha
s been described. We report the case of a 26-year-old woman who presen
ted persistent proteinuria, hematuria, deafness without nail and skele
tal abnormalities. The renal biopsy showed focal and segmental glomeru
losclerosis by light microscopy. The electron microscopy revealed the
presence of massive fibrillar collagen within the mesangial matriz and
the basement membrane. This is the first patient reported in our coun
try. We emphasize the usefulness of electron microscopy in the study o
f glomerular diseases.