Contributed by Kevin D. Horn, MD. and Paul S. Dickman, MD.
Published on line in March 1997
Disclosure Statement: In accordance with the policies on disclosure of the Accreditation Council for Continuing Medical Education and the Faculty Advisory Committee for Continuing Education in the Health Sciences, University of Pittsburgh, presenters for this program have identified no personal relationships with a health care product company which, in the context of their topics, could be perceived as a real or apparent conflict of interest.
The patient is an 8 year old boy with a history of a skin rash. He had three successive crops a few days apart. Concurrent with the rash, the patient exhibited gross hematuria and proteinuria. Laboratory evaluation disclosed a rise in creatinine (which had been normal at a routine physical examination 6 weeks prior) to 2.6 mg/dL. A rise in systolic blood pressure was also noted. An ultrasound-guided needle biopsy of the kidney was performed.
Three needle core biopsies are examined and are normal in appearance.
IMMUNOFLUORESCENT MICROSCOPY FINDINGS
ELECTRON MICROSCOPY FINDINGS