|
Clinical History:
A
56-year-old female with acute kidney injury, likely with
history of CKD. Creatinine increased from 2.4 in May to
5.5 now with no clear etiology. She had been on large
numbers of herbal supplements, now discontinued. Initial
evaluation showed ATN casts, now gone without
improvement in creatinine.
Immunoflourescence:
Tubular casts are strongly positive for lambda (3+) |
