Slide Digitization by:
Digital Slide Seminar 1: Day 1 (11.45 - 12.15)
Nephrotic syndrome - Dr. Norra Harun
Case 1 History: P2042/18 (HTAA)
63-year-old Malay man
Known case of DM and hypertension
FSGS was diagnosed in Feb 2015, biopsy done
On T.Prednisolone 30 mg daily and T.cyclosporin 50 mg bd since 2015
UFEME : Prot 3+ RBC 250
Urea ;11.6 creat : 143
Relapsed in Feb 2018, renal biopsy was done for reassessment
IF: No fresh tissue was sent
Case 2 History : P10979/16 (HRPZII)
23-year-old malay lady with underlying SLE with lupus nephritis class III in 2015
T.prednisolone 5 mg daily
Having relapse in Sept 2017 > T.prednisolone 60 mg daily
Repeat biopsy for reassessment of class.
IF: Full house positivity, capillary and mesangium
Case 3 History: P0851/18 (HRPZII)
14-year-old Malay girl
c/o: facial puffiness and bilateral leg swelling for 2 weeks
24hr urine protein: 3.6 g Renal profile: Normal
ANA: negative
IF: negative
Case 4 History: P9809/16(HTAA)
30-year-old Malay man
Clinically nephrotic syndrome
IF: No glomerulus IP: background staining
Case 5 History: R4649-17 (HKL)
23-year-old Malay lady, severe proteinurai with Serum albumin 9 g/L,
creatinine raised to 256 mmol/L
IMF : IgG,IgA,IgM,C3,C1q are negative. Ig M(1+) at mesangium
Case 6 History: H17827-17 (HSA)
17-year-old Iban. Nephrotic syndrome, Hep C, AKI. Bilateral lower limb swelling. 24hr urine protein 1.2g/24hr (Sept 2017). ANA –ve, ASOT –ve, Hep B –ve, HIV –ve. Imp – TRO MPGN.
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Case 6 - H17827-17-HE(S1)
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Case 6 - H17827-17-HE(S6)
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Case 6 - H17827-17-MT(S7)
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Case 6 - H17827-17-PAAG(S5)
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Case 6 - H17827-17-PAS(S2)