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Nephrology Dialysis Transplantation 2005 20(4):837-839; doi:10.1093/ndt/gfh627
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Nephroquiz
(Section Editor: M. G. Zeier)

Lumpy jaw revisited

Sibylle von Vietinghoff, Ute Kettritz, Wolfgang Flügel, Wolfgang Schneider and Ralph Kettritz

Medical Faculty of the Charité Franz Volhard Clinic and Department of Radiology Otolaryngology and Pathology HELIOS Klinikum Berlin Germany Email: kettritz@fvk-berlin.de

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   Case
 
We care for an 84-year-old lady with Wegener's granulomatosis. Ten months ago, she presented with acute renal failure and lung haemorrhage. She had bilateral patchy pulmonary infiltrates. A renal biopsy revealed rapidly progressive glomerulonephritis with >50% crescent formation. The immunofluorescence showed a pauci-immune pattern. She required haemodialysis for 3 weeks before responding to cyclophosphamide and prednisone. Aside from polymyalgia rheumatica, temporal arteritis, macular degeneration, atrial fibrillation and mitral insufficiency, she enjoyed reasonably good health. Her response to cyclophosphamide and prednisone was gratifying and her serum creatinine . . . [Full Text of this Article]



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