PMC3883597_01
The patient's serum creatinine (Cr) level over a 4-year period.
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During this time, the level of serum creatinine was stable (Figure 1), and both proteinuria and hematuria improved (Figure 2). Interestingly, there was not only no increase in creatinine levels (Figure 1), but also a negative conversion of p-ANCA.
The patient's hemoglobin level over a 4-year period.
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During this time, the level of serum creatinine was stable (Figure 1), and both proteinuria and hematuria improved (Figure 2).
The patient's chest CTs over a 4-year period. The CT scan shows a progressive pulmonary affectation during the last 2 months.. Abbreviation: CT, computed tomography.
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A chest CT scan was performed, which showed that the lung fibrosis remained unchanged (Figure 3). However, after the 4-year follow-up, the patient experienced a sudden and rapid deterioration in lung infiltration and exhibited pulmonary hemorrhage (PH) along with a progressively lower hemoglobin (Figure 3).