NEPHROQUIZ 5: A 51-YEAR-OLD MAN WITH KIDNEY FAILURE

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TAMADONDAR M.; RAHIMI KELARIJANI B.; TORBATI P.; AHMADPOUR P.

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Journal Paper

Paper Information

Journal: Iranian Journal of Kidney Diseases Year:2010 | Volume:4 | Issue:4 Page(s): 340-344

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Title

NEPHROQUIZ 5: A 51-YEAR-OLD MAN WITH KIDNEY FAILURE

Author(s)

TAMADONDAR M. | RAHIMI KELARIJANI B. | TORBATI P. | AHMADPOUR P. | Issue Writer Certificate

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Abstract

A 51-year-old cigarette-smoker man was admitted because of progressive generalized weakness and early fatigability since 3 months earlier. He denoted that his symptoms developed after 2 days of fasting. He also complained of headache, lower extremities bone pain, and a recent episode of respiratory tract infection. The patient was not on any specific medications, and physical examination was unremarkable. Laboratory results are shown in the Table.Results of hepatitis B and C viruses serology, serum complements 3 and 4, total hemolytic complement, antinuclear antibody, antineutrophilic cytoplasmic antibody, and anti-double-stranded DNA were all negative or in normal range. Urinalysis revealed proteinuria (2+) with 5 to 10 erythrocytes and 5 to10 leukocytes per high-power field. Serum protein electrophoresis demonstrated hypoalbuminemia, hypogmmaglobulinemia, and a monoclonal peak in the beta 2 region (Figure 1). With immunotyping, a high level of immunoglobulin A (IgA) was demonstrated (IgG, 196 mg/dL; IgA, 5965 mg/dL [reference range, 60 mg/dL to 490 mg/dL]; IgM, 6 mg/dL; and IgE, 14.2 mg/ dL). Result of urine protein electrophoresis also revealed beta, 97.0%; alpha 2, 1.0%; and albumin, 2.0%. There was no evidence of lytic bone lesions in skull radiography. Chest radiography was negative for cardiomegaly, pulmonary infiltrates, effusions, or bony abnormalities in the ribs...

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APA: Copy

TAMADONDAR, M., RAHIMI KELARIJANI, B., TORBATI, P., & AHMADPOUR, P.. (2010). NEPHROQUIZ 5: A 51-YEAR-OLD MAN WITH KIDNEY FAILURE. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), 4(4), 340-344. SID. https://sid.ir/paper/309009/en

Vancouver: Copy

TAMADONDAR M., RAHIMI KELARIJANI B., TORBATI P., AHMADPOUR P.. NEPHROQUIZ 5: A 51-YEAR-OLD MAN WITH KIDNEY FAILURE. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD)[Internet]. 2010;4(4):340-344. Available from: https://sid.ir/paper/309009/en

IEEE: Copy

M. TAMADONDAR, B. RAHIMI KELARIJANI, P. TORBATI, and P. AHMADPOUR, “NEPHROQUIZ 5: A 51-YEAR-OLD MAN WITH KIDNEY FAILURE,” IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), vol. 4, no. 4, pp. 340–344, 2010, [Online]. Available: https://sid.ir/paper/309009/en

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