Society of Diabetic Nephropathy Prevention Journal of Nephropathology 2251-8363 6 4 2017 10 01 Idiopathic nodular glomerulosclerosis in a chronic marijuana user; a case report and review of the literature 278 281 10.15171/jnp.2017.46 EN Mehri Mollaee Tibor Fülöp Sohil Abdul Salim Mehrdad Hamrahian Journal Article 10.15171/jnp.2017.46 2017 02 19 2017 05 04 Background: Nodular glomerulosclerosis is a characteristic histological finding of diabetic nephropathy (DN) with thickened glomerular basement membrane (GBM) and hyalinized arterioles. Idiopathic nodular glomerulosclerosis (ING), a rare distinct clinicopathologic entity, is the term used to denote classic DN confirmed by light microscopy, immunofluorescence, and electron microscopy in the absence of diabetes mellitus (DM). ING has been linked to heavy tobacco smoking, chronic hypertension, obesity and insulin resistance. Its association with marijuana use is unknown. history of DM and heavy smoking. This report addresses the possible accentuation of tobacco use risk by marijuana.