PMC3869631_01
Chest X-ray and computed tomography. (A) Chest X-ray showing cavities (arrow), nodules, and pleural thickening (arrowhead) in the bilateral, predominantly upper, lung fields. (B, C) Computed tomography images showing multiple cavities, nodules, and bronchiectasia.
amjcaserep-14-543-g001.jpg
PMC3869631_01_amjcaserep-14-543-g001.jpg
f1-amjcaserep-14-543
A chest X-ray and computed tomography (CT) scan showed emphysematous changes and multiple cavities in the bilateral pulmonary fields (Figure 1).
Histology of the kidney showing membranous glomerulonephritis. (A) Thickening of basement membranes, enlarged mesangial areas, and proliferated mesangial cells in part (PAS stain). (B) Spike lesions (arrows; PAM stain). (C) Electron microscopic observation showing electron-dense deposits in the subepithelium, basement membranes (arrowheads), and mesangial area (arrow).
amjcaserep-14-543-g002.jpg
PMC3869631_01_amjcaserep-14-543-g002.jpg
f2-amjcaserep-14-543
Renal tissue samples obtained by renal biopsy mainly showed membranous glomerulonephritis (MGN), with partial hypertensive renal damage (Figure 2). In addition, the mesangial areas were slightly enlarged and mesangial cells had proliferated in part (Figure 2A). Electron-dense deposits were observed in the mesangial areas as well as the subepithelium and basement membranes (Figure 2C).