case_images: PMC11763169_01
case_images: Immunohistochemistry showing diffuse NELL1 positivity (2+/3+) along the glomerular capillaries (NELL1 immunostain x400) left hemithorax. NELL-1: Neural epidermal-like growth factor-like 1.
case_images: IJN-35-1-103-g1.jpg
case_images: PMC11763169_01_IJN-35-1-103-g1.jpg
case_images: F1
case_images: IgG 3+, IgM 3+, IgA negative, C3 2+, C1q negative, kappa light chain 3+, and lambda light chain 3+. Immunohistochemistry on paraffin block of renal tissue was done for phospholipase A2 receptor (PLA2R), thrombospondin (THSD7A), neural epidermal-like growth factor like 1 (NELL-1), semaphorin 3b, exostosin 1, and exostosin 2, which showed diffuse NELL-1 positivity (2+/3+) along the glomerular capillaries [Figure 1].
case_images: Black arrow indicates the calcified pleural plaques and loss of volume in left hemithorax.
case_images: IJN-35-1-103-g2.jpg
case_images: PMC11763169_01_IJN-35-1-103-g2.jpg
case_images: F2
case_images: CT scan of the chest was done as a part of work up to exclude malignancies, revealed calcified pleural plaques and loss of volume in left hemithorax [Figure 2].