Renal Biopsy Case History
March, 1995

Clinical Summary

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.

Micrographs

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Last Update -- March 31, 1995