Presenter-Mode

IgAN aggressive progression (Japan)

A 40-year-old man underwent a renal biopsy for the purpose of investigating macro hematuria

Past Medical History: None

Medications: None

Family History: His father has a history of hemodialysis

Vital parameters: 

BP: 138/85 mmHg 

HR: 74/min 

SpO2: 98 % 

 

Laboratory Findings:

Urinalysis:

RBCs: 50–99/HPF, WBCs: 1–4/HPF, 24-hour urine protein: 2400 mg/day

 

Blood Tests:

WBC: 5,900/μL, Hb: 14.2 g/dL, Platelets: 263,000/μL, TP: 7.2 g/dL, Alb: 4.5 g/dL, BUN: 14.2 mg/dL, Cr: 1.80 mg/dL, eGFR: 35.4 mL/min/1.73 m²,HbA1c: 5.6%, CRP: 0.02 mg/dL, IgG: 1340 mg/dL, IgA: 390 mg/dL, IgM: 120 mg/dL, C3: 82 mg/dL, C4: 50 mg/dL, ANA: <1:40, P-ANCA: Negative, C-ANCA: Negative, Anti-GBM antibody: Negative.

 

Note related to annotations: To avoid obscuring the lesions, the annotations are deliberately positioned close to, but not directly over, the lesion areas.