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Open Access Highly Accessed Case Report

Sickle cell nephropathy with diffuse proliferative lupus nephritis: a case report

Kamal V Kanodia1*, Aruna V Vanikar1, Kamal R Goplani2, Sonia B Gupta2 and Hargovind L Trivedi2

Author affiliations

1 Department of Pathology, Laboratory Medicine and Transfusion Services, and Immunohematology, G.R. Doshi and K.M. Mehta Institute of Kidney Diseases and Research Centre and Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, India

2 Department of Nephrology and Transplantation Medicine, G.R. Doshi and K.M. Mehta Institute of Kidney Diseases and Research Centre and Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, India

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Citation and License

Diagnostic Pathology 2008, 3:9  doi:10.1186/1746-1596-3-9

Published: 28 February 2008

Abstract

Background

Sickle cell nephropathy (SCN) is an important cause of mortality in patients with sickle cell disease. SCA with systemic lupus erythematosus (SLE) is known in children and less common in adults, however diffuse proliferative lupus nephritis (DPLN) with SCN has rarely been reported in adults. It requires early diagnosis and aggressive management.

Case presentation

We present here a 35 years old lady with sickle cell disease who presented with edema, dyspnoea on exertion, pyuria and had raised s. creatinine of 7 mg%. Her biopsy revealed SCN with DPLN. She is on maintenance hemodialysis after 2 months of diagnosis.

Conclusion

DPLN with SCN is a rare entity with poor prognosis, which may be overlooked and needs aggressive management.