SOLVED1605

summarize this: A 58-year-old Caucasian man of Bulgarian origin was referred to our nephrology department because of progressive renal disease without hypertension or diabetes. The patient was previously known for one episode of hepatitis at age 38 of unclear origin, gastro-intestinal aspecific complaints, and recurrent pulmonary infections. He had no relevant familial or personal history of renal disease. The patient had no consanguinity in his family and reported having potentially being exposed to ionizing radiation in Ukraine during his childhood. Initial laboratory: Serum creatinine level was 245 μmol/l, (eGFR 24 ml/min/1.73m2), the urinalysis was bland and proteinuria was of less than 1 g, with a minority of albumin. Except for a mild metabolic acidosis, no electrolyte disturbance was noted. A moderate elevation of liver enzymes was observed. Viral serology, serum ANCA, ANA immunofixation and free light chain levels were within the normal range.
SCIENCE
HEALTH SCIENCE
NURSING

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