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Nephrol Dial Transplant (2004) 19: 739-741
Nephrol Dial Transplant Vol. 19 No. 3 (c) ERA-EDTA 2004; all rights reserved

Nephroquiz
(Section Editor: M. G. Zeier)

Supported by an educational grant from

Lymphadenopathy and proteinuria

Svetlana Karie1, Hassane Izzedine1, Hélène Beaufils2, Frederic Charlotte2, Vincent Launay-Vacher1 and Gilbert Deray1

1Department of Nephrology 2INSERM U 574 and Department of Pathology Pitié-Salpétrière Hospital Paris France Email: hassan.izzedine@psl.ap-hop-paris.fr

The first 10% of the full text of this article appears below.

Case

A 79-year-old Vietnamese woman was hospitalized with a 2-month history of progressive fatigue and dyspnoea. Her past history included hypertension, hypercholesterolemia and cholecystectomy. Her physical examination revealed dyspnoea at rest, bilateral crepitus, ascites, peripheral leg oedema, hypertension (150/100 mmHg), ecchymosis, left subconjunctival haemorrhage jugulo-carotidian and axillary lymphadenopathies and barely palpable liver and spleen.

Laboratory data are presented in Table 1; among them were serum creatinine of 85 mmol/l, blood urea nitrogen 9.4 mmol/l, proteinuria (2.5–6 g/l) and . . . [Full Text of this Article]

Question

Answers to the quiz on the preceding page

Pathological diagnosis: renal thrombotic microangiopathy associated with the mixed type of multicentric Castelman's disease

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