AFRAN Nephro-Pathology Monthly Case (February 2022)
Case developed by:
Mohammed Abdel Gawad (Egypt), Wessam Ismail (Egypt), Rim Goucha (Tunisia)

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Case History: A 61-year-old man undergoes abdominal aortic aneurysm correction surgery, a procedure without intraoperative complications. Two days later, he presented elevated serum creatinine from a baseline of 1.4 to 4.2 mg/dL, proteinuria less than 1 g/d, and microhematuria. He has a history of diabetes mellitus, dyslipidemia, and hypertension. Immune markers, virology, protein electrophoresis are normal. Direct immunofluorescence for IgA, IgG, IgM, C3, C1q, kappa, and lambda: Negative. See the images of the renal biopsy and differential diagnosis below then choose the most accurate answer.
Q1- What is the seen clinical sign in the patient's foot (Reference of the image: *
1 point
Captionless Image
Q2- What is the seen pathology in this Masson's trichrome stain section? (Reference of the image: www.kidneypathology. com Case 188) *
1 point
Captionless Image
Q3- What is the line of management in this case? *
1 point
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