So focal segmental glomerulosclerosis is a type of nephrotic syndrome, that’s helpful, but why does the glomerulus develop segmental sclerosis in the first place?
Alright so on histology, there’ll be segmental sclerosis and hyalinosis of the glomeruli, and under electron microscope, there’s effacement of the foot processes of the podocytes.
Segmental means that only a segment, or part of the glomeruli is affected, and focal means that among all those glomeruli in the kidney, only some are affected.