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148670520 U06-5496

148670520 U06-5496. 18 yr male. ↑Cr.Hematuria. ?IgA. ?post infectious. U06-5496.

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148670520 U06-5496

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  1. 148670520 U06-5496 18 yr male. ↑Cr.Hematuria. ?IgA. ?post infectious

  2. U06-5496 18 years old Presented with hematuria,3 weeks post URTI No Hx suggestive of infection or vasculitisNo Hx of IV DrugsExam. Unremarkable, BP normal U/A +3 Hb, RBC>50 Protein/Creatinin 22mg/mmolCreatinin 250 „»150Normal C3,C4Negative serologyHb 116

  3. IF • IgG-negative • IgA- mild mesangial staining • IgM- minimal fine granular mesangial staining • C3- mild mesangial, mild vascular staining • C1q-negative • Kappa-negative • Lambda- mild mesangial staining • Fibrin-moderate interstitial staining • Albumin- moderate diffuse background

  4. IgA

  5. IgM

  6. C3

  7. Lambda

  8. Fibrin

  9. Albumin

  10. Diagnosis:Renal Biopsy:Focal Mesangial Proliferative Glomerulonephritis on the basis of IgA Nephropathy

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