Urinalysis showed 2+ albumin, 5–6 leukocytes, and 5–6 red cells per high power field, while ultrasonography showed normal sized kidneys with swollen cortex. His blood pressure was elevated at 180/100 mmHg, chest auscultation revealed bilateral rales, and other systemic examination was unremarkable. ![]() Examination revealed a papular nonblanching erythematous rash on the thorax, abdomen, upper and lower limbs, eyelid puffiness, and bilateral pedal edema 4+. He had been referred to our unit for an elevated plasma creatinine (2.69 mg%). His medical history was unremarkable with no history of arthralgias or other systemic illness. ![]() A 52-year-old male patient was admitted on August 1, 2013, with a history of breathlessness, lower limb swelling for 4 days, and an erythematous rash over the abdomen for 2 days.
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