[Renaliste] (sans objet)

[patricia khalil]

hi i want to discuss a case with you.


I have a patient who is 57 year old white female who has history of 
schizophrenia and who had developped cutaneous lesions: started with 
palpable purpura. by the time I saw her she had already necrosis in these 
lesions. i was consulted aftre 2 weeks from her admission because her 
creatinine was going up to 1.8 the urine sediemtn showed a lot of RBC's and 
she had 3.2 g protein/24 hours. the skin biopsy showed leucocytoclastic 
vasculitis and the IF was negative for IgA now the renal biopsy showed 
crescentic glomerulonephritis with IgA.
how would you label her? HSP v/s vasculitis with i mmune complex necrotizing 
glomerulonephritis?
would you recommend steroids or combine it with cytoxan?

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