Seven patients with fatal acute glomerulonephritis referred to a haemodialysis unit in a three-year period were between 53 and 78 years of age. The presenting features and natural history of acute glomerulonephritis in this age group often differ from those commonly seen in younger patients. The rarity of the disease in the middle-aged and elderly, coupled with the atypical presentation of most...

Leprosy is a chronic disease caused by Mycobacterium leprae, highly incapacitating, and with systemic involvement in some cases. Renal involvement has been reported in all forms of the disease, and it is more frequent in multibacillary forms. The clinical presentation is variable and is determined by the host immunologic system reaction to the bacilli. During the course of the disease there are...

A Pakistani man aged 19 years was admitted to a rheumatological unit in the United Kingdom with acute widespread polyarthritis accompanied by night sweats and fever. Preliminary examination suggested Reiter's disease, but further investigation showed acute glomerulonephritis with uraemia. The possibility of periarteritis nodosa, and the prominence of muscle tenderness in the legs, led to biopsi...

celiac disease can be accompanied with multiorgan involvement in addition to gastro-intestinal involvement. a 16-year-old young man - known case of celiac disease - was admitted because of exacerbation of gastrointestinal complaints. during further investigations, hypothyroidism and membranous glomerulonephritis were discovered. the patient was improved with a gluten-free diet and specific trea...