Solve exciting clinical cases specific to your field of interest via Docplexus clinical case challenge. In today’s ‘Nephrology Case Challenge’ , join your fellow doctors to discuss and answer today’s question which is about identifying the cause of lower extremity swelling. A 52-year-old man was presented with lower extremity swelling which had worsened over last few months. He had a history of mild hypertension and had routine exposure to tobacco. On evaluation, the nephrotic syndrome was confirmed and his laboratory findings were: 12 g of proteinuria in a 24-hr collection, serum albumin was 1.8 g/dL and serum creatinine was 1.33 mg/dL. The eGFR was 56 mL/min.
Serum complement levels were normal. He was found to be hepatitis B and C serologies negative, ANA negative. He was slightly anemic. His WBC count was 6200 and platelet count was 270,000/µL. Urine sediment showed 6-10 RBCs/HPF. A…
