case_images: PMC6081560_01
case_images: Thickened mesangium and capillary loops PAS 200x.
case_images: CRIN2018-6746473.001.jpg
case_images: PMC6081560_01_CRIN2018-6746473.001.jpg
case_images: fig1
case_images: Upon resolution of HZ, a second biopsy was performed with findings of thickened capillary walls with lucencies, moderate mesangial matrix expansion, and no podocytes abnormality on the light microscopy (LM) (Figure 1), and negative immunofluorescent study (IF) for IgG, IgA, C3, C1q, light chains, and faint IgM on IF, and electronmicroscopy (EM) with complete (90-100%) effacement of foot processes, acellular debris in thickened capillary walls, and sparse immune deposits in mesangium (Figure 2), which were consistent with healed membranous nephropathy (MN) and minimal change disease- (MCD-) like process.
case_images: Thickened capillary walls with acellular debris, total foot process effacement on EM.
case_images: CRIN2018-6746473.002.jpg
case_images: PMC6081560_01_CRIN2018-6746473.002.jpg
case_images: fig2
case_images: Upon resolution of HZ, a second biopsy was performed with findings of thickened capillary walls with lucencies, moderate mesangial matrix expansion, and no podocytes abnormality on the light microscopy (LM) (Figure 1), and negative immunofluorescent study (IF) for IgG, IgA, C3, C1q, light chains, and faint IgM on IF, and electronmicroscopy (EM) with complete (90-100%) effacement of foot processes, acellular debris in thickened capillary walls, and sparse immune deposits in mesangium (Figure 2), which were consistent with healed membranous nephropathy (MN) and minimal change disease- (MCD-) like process.