Renal Biopsy Case History
A 53 year old African American male with a history of hypertension and
bipolar disorder that was treated with lithium presented to an emergency
room complaining of "not feeling well". Evaluation revealed edema,
proteinuria, creatinine 3.1 mg/dl and BUN 57 mg/dl. Four days later the
creatinine was 5.3 mg/dl and BUN 74 mg/dl. He was hospitalized for
further evaluation, which revealed BP 150/80, edema, 8.7 gm/24hr
proteinuria, >20 RBC/hpf, serum albumin 1.5 g/dl, cholesterol 200 mg/dl,
positive anti-nuclear antibody (ANA) at a titer of 1:320 and normal serum
complement. He gave no history of prior renal disease and had not taken
nonsteroidal anti-inflammatory drugs. Over the next week his creatinine
rose to 6.8 mg/dl. A renal biopsy was performed.
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yield good images of the pathology of the case. Each slide has a pathologic
description associated with the picture.
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Last Update -- March 31, 1995