Idiopathic carpotarsal osteolysis is characterized by gradual lysis and res
orption of bones, occurring mainly on hands and feet. It may be sporadic or
hereditary and either form can manifest renal involvement. Nephropathy is
seen more frequently and is more severe in the sporadic form. We present he
rein two new cases of unrelated boys with the sporadic form associated with
nephropathy. One of the patients had focal segmental glomerulosclerosis. T
he other patient revealed isolated proteinuria.