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NEW - Pathology Corner by Prof. Franco Ferrario

Brand new high fidelity nephropathology section -> the OLA Pathology Corner

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Case of the Month

  June / July 2014

A 20 year old man is referred to you from the dermatologists. He presented to them 6 months ago with a leucocytoclastic vasculitis. His eGFR has declined from 80 to 50mls/min/1.73m2. When you see him in clinic he has 3+ blood and protein on dipstic, vasculitic lesions on his leg are healing. His PCR is 300 mfg/mmol (approx. 3g/24 hours proteinuria) and his eGFR is now 35 mls/min/1.73m2. His BP is 140/88. Soluble immunology including, ANCA, ANA, C3, C4 anti-GBM are all negative.

He undergoes a renal biopsy shown below

 

What is the most likely diagnosis?

Read: 270 times Answered: 96 times Top score: 100%

Current Discussions

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    • WHAT ABOUT TRANSPLANTED PATIENTS ? as far as i know , all our seniors recommend not to fasting for their transplanted patients . I have a friend followed by one of the known nephrologists in...
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    • excellent However, I must say that Iam pretty sure that these conclusions are basically the author's opinion. (I agree with many of them but most of the conclusions are absolutely unfounded)
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