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Renal Pathology
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Case 3 -
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MPGN Type 3, Second Form

Kensuke Joh, Sendai Shakaihoken Hospital, Sendai City, Miyagiken, Japan
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Clinical History
57 yrs old male has been treated with medication against hypertension, hyperlipidemia,
and hyperuricemia in a clinics from 1994 (40 yrs old).

2003: proteinuria (-) , 2004: proteinuria (+/-), 2005: proteinuria(+),
2007~2008 proteinuria (+), 2009 April: proteinuria(3+) , August : Hypoalbuminemia
Blood pressure120-140/90mmHg, sCr1.0~1.2 mg/dL

2010 January: leg edema, October: Hypertension >200mmHg.
Systolic Blood pressure 170mmHg after antihypertensive drug

He was introduced to our hospital with edema and hypertension for further investigation and treatment.

Blood pressure 197/108mmHg? Body weight 79.5kg edema(+)

Followed up with 150-170/80-90mmHg in out patient clinic of the University hospital. .Diuretic drug (Lasix) was administered in December against edema

 Case 3 - Slide 1
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Case 3 - Slide 2
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Case 3 - Slide 3
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Case 3 - Slide 4
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