PMC4961824_01
PMC4961824_02
A glomerulus showing a segmental nodular lesion with mesangial hypercellularity and a nodular area of mesangial matrix expansion reminiscent of a Kimmelsteil-Wilson nodule. Haematoxylin & Eosin stain.
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fig1
The remainder showed mild, focal segmental increase in mesangial matrix with hints of Kimmelstiel Wilson nodules and a capsular adhesion at the tubular origin and capsular drops on the inside of Bowman's capsule (Fig. 1).
Hyalinosis of a glomerular hilar arteriole and nodular appearance of the glomerular tufts. Haematoxylin & Eosin stain.
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fig2
There was patchy tubular atrophy, some arterioles showed hyalinosis and the small arteries exhibited mild thickening of the walls (Fig. 2).
Urine protein:creatinine ratio and serum albumin measurements during follow up.
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fig3
After the biopsy she was treated with enalapril with a reduction in proteinuria-(Fig. 3).