TY  - BOOK
AU  - Cortazar, Frank B. 
AU  - Sise, Meghan E. 
AU  - Rapalino, Otto 
AU  - Branagan, Andrew R. 
AU  - Trivin-Avillach, Claire 
TI  - Case 13-2026: A 76-Year-Old Woman with Fatigue, Rash, and Kidney Failure
KW  - LESIÓN RENAL AGUDA
KW  - MEDICINA CLÍNICA GENERAL
KW  - DERMATOLOGÍA GENERAL
KW  - ENFERMEDADES INFECCIOSAS GENERALES
KW  - REUMATOLOGÍA GENERAL
N2  - 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
ER  -