01713nam a2200289 4500 ESSALUD 20260903155106.0 ta t pe ||||| |||| 00| 0 spa d BMG eng Cortazar, Frank B. Autor 54604 Case 13-2026: A 76-Year-Old Woman with Fatigue, Rash, and Kidney Failure páginas: 1737-1748 A 76-year-old woman was transferred to the medical service of this hospital because of rapidly progressive kidney failure. The patient had been in her usual state of health until 1 year before the current presentation, when a painless purpuric rash on the lower legs developed. The rash waxed and waned. There was no joint pain, edema, weakness, or weight loss. The patient was seen by a dermatologist at another hospital, and the results of a skin biopsy were reportedly consistent with leukocytoclastic vasculitis. The results of urinalysis and kidney-function tests were normal. Her symptoms were attributed to a history of hepatitis C virus (HCV) infection; topical glucocorticoid treatment was initiated, and the rash resolved. LESIÓN RENAL AGUDA 33639 MEDICINA CLÍNICA GENERAL 53666 DERMATOLOGÍA GENERAL 54449 ENFERMEDADES INFECCIOSAS GENERALES 54087 REUMATOLOGÍA GENERAL 54450 Sise, Meghan E. 54605 Rapalino, Otto 54606 Branagan, Andrew R. 54607 Trivin-Avillach, Claire 54608 22717 22684 Massachusetts NEJM Group NEJM016 The New England Journal of Medicine ESSALUD 0028-4793 ARTICULOS 2026-08-31 sqb 22935 22935