Case of End Stage Renal D...

A 52-year-old patient with end-stage renal disease (ESRD), undergoing intermittent hemodialysis for 20 consecutive years was recently diagnosed with Bardet-Biedl syndrome (BBS). His medical history included central obesity, hypogonadism, blindness due to pigmented retinopathy, neurological disorders (epilepsy, ataxia, peripheral neuropathy), learning disabilities, speech disorders, brachydactyly, and ESRD attributable to bilateral renal hypoplasia. A chest computed tomography was performed due to shortness of breath and revealed mediastinal lipomatosis (ML).Suggest a proper diagnosis & treatment plan.