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Nephrol Dial Transplant (2001) 16: 2095-2096
© 2001 European Renal Association-European Dialysis and Transplant Association


Nephroquiz for the Beginner

Ulcerating subcutaneous nodules and advanced renal failure: is it time for a new liver?

(Section Editor: M. G. Zeier)

Petros C. Karakousis1 and John E. Tomaszewski2

1Department of Internal Medicine 2Department of Pathology, Hospital of the University of Pennsylvania School of Medicine, Philadelphia, USA

Case

A 40-year-old woman presented to an ambulatory clinic complaining of 'flu-like symptoms. In the past few years she had experienced intermittent Raynaud's phenomenon and claudication symptoms. Her past medical history was significant for nephrolithiasis at age 16, and pathological fractures of both ankles in her early 30s. On laboratory evaluation, she was found to be anaemic, with a haematocrit of 0.25 and mean corpuscular volume of 86 fl, and she had a markedly elevated serum creatinine . . . [Full Text of this Article]

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