PMC6558605_01
Axial postcontrast CT shows voluminous splenorenal collaterals (arrows).
CRIN2019-3409832.001.jpg
PMC6558605_01_CRIN2019-3409832.001.jpg
fig1
PAS x 300 Glomerulus with lobular presentation, widened mesangium, and thickened capillary walls.
CRIN2019-3409832.002.jpg
PMC6558605_01_CRIN2019-3409832.002.jpg
fig2
A kidney biopsy showed moderate to severe mesangial hyper cellularity, dilation of mesangial matrix with focal lymphocytic stasis in the capillary space, basal membrane thickening of capillary loops with well-defined fuchsinophilic granules and focal total glomerulosclerosis (16%), grade II epithelial renal tubular dysplasia, diffused moderate fibrosis of the interstitium, tubular atrophy, intimal fibrosis, and hypertrophy of the arterial muscle layer of middle calibre with narrowing of one artery to 1/3 (Figures 2 and 3).
C4d x150.
CRIN2019-3409832.003.jpg
PMC6558605_01_CRIN2019-3409832.003.jpg
fig3
A kidney biopsy showed moderate to severe mesangial hyper cellularity, dilation of mesangial matrix with focal lymphocytic stasis in the capillary space, basal membrane thickening of capillary loops with well-defined fuchsinophilic granules and focal total glomerulosclerosis (16%), grade II epithelial renal tubular dysplasia, diffused moderate fibrosis of the interstitium, tubular atrophy, intimal fibrosis, and hypertrophy of the arterial muscle layer of middle calibre with narrowing of one artery to 1/3 (Figures 2 and 3).