Nephrotic syndrome related to luetic disease

A 33-year-old woman presented with nephrotic range proteinuria and 2-week history of urticarial papular rash in the region of the torso (Figure  1), arms, and legs. Blood test showed normal creatinine 70 μmol/l, albumin 15 g/l (normal 32–48 g/l), elevated alkaline phosphatase 475 U/l (normal 45–110 U/l), gamma-glutamyl transferase 228 U/l (normal 0–50 U/l), normal transaminases, C-reactive protein 79 mg/l, and white blood cell count 6.5 × 109/l. Urine microscopy showed white cells> 1000/ μl and red cells 87/μl.
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Nephrology Image Source Type: research