case_images: PMC6206514_01
case_images: Palpable purpura on the lower limb.
case_images: CRIN2018-9847826.001.jpg
case_images: PMC6206514_01_CRIN2018-9847826.001.jpg
case_images: fig1
case_images: The patient attended the nephrology clinic after 7 days with palpable purpuric rashes in both of the lower limbs associated with minimal pedal edema (Figure 1).
case_images: Photomicrograph from renal biopsy showing an unremarkable appearing glomerulus (PAS X 200).
case_images: CRIN2018-9847826.002.jpg
case_images: PMC6206514_01_CRIN2018-9847826.002.jpg
case_images: fig2
case_images: Light microscopy showed nonproliferative glomerular morphology (Figure 2) with patchy acute tubular injury and multifocal chronic interstitial inflammation (Figure 3).
case_images: Photomicrograph showing dense chronic lymphoplasmacytic interstitial inflammation (H&E X 160).
case_images: CRIN2018-9847826.003.jpg
case_images: PMC6206514_01_CRIN2018-9847826.003.jpg
case_images: fig3
case_images: Light microscopy showed nonproliferative glomerular morphology (Figure 2) with patchy acute tubular injury and multifocal chronic interstitial inflammation (Figure 3).
case_images: Electron micrograph showing glomerular capillaries with well-preserved foot processes of visceral epithelial cells (uranyl acetate and lead citrate X 3000).
case_images: CRIN2018-9847826.004.jpg
case_images: PMC6206514_01_CRIN2018-9847826.004.jpg
case_images: fig4
case_images: Transmission electron microscopy revealed relatively well-preserved visceral epithelial cell foot processes (Figure 4) and no evidence of glomerular or extraglomerular electron dense deposits.