ANOTHER CASE OF BACK PAIN IN A DIALYSIS PATIENT

by Silvia Berutti, Corrado Vitale, Paolo Gabella and Martino Marangella

Nephrology and Dialysis Unit, Ospedale Mauriziano, Turin, Italy.

Corresponding author:

Silvia Berutti

Download short CV of the first author (Silvia Berutti) CV Silvia Berutti



CASE VIGNETTE:
A 74 year-old woman was admitted to a General Hospital because of cough, haemophtoe, pneumonia and severe renal failure (serum creatinin 5.2 mg/dl). She was treated with antibiotics (amoxicillin + azithromycin); after a week, pneumological conditions improved and she was referred to a Nephrology Unit because of microscopic haematuria and proteinuria (3,8 g/d) and worsening of renal failure (sCr 5.8 mg/dl). Complement, serum immunoglobulins, ENA, antiDNA and protein electrophoresis were normal. Renal biopsy was performed on a morphologically normal kidney.

Renal biopsy - (photo: courtesy of dr Nicoletta Ravarino, SC Anatomia Patologica Ospedale Mauriziano Torino)

(photo: courtesy of dr Nicoletta Ravarino, SC Anatomia Patologica Ospedale Mauriziano Torino)


  • Question 1) - Which diagnosis is suggested by these clinical-pathological features?
    (Only ONE answer is correct)

  • a) Acute glomerulonephritis.
  • b) Crescentic glomerulonephritis.
  • c) Focal segmental glomerulosclerosis.
  • d) Acute tubular necrosis.