000			01713nam a2200289 4500
001			ESSALUD
005			20260903155106.0
007			ta
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040			_aBMG
041			_aeng
100			_aCortazar, Frank B. _eAutor _954604
245			_aCase 13-2026: A 76-Year-Old Woman with Fatigue, Rash, and Kidney Failure
300			_apáginas: 1737-1748
520			_aA 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.
650			_aLESIÓN RENAL AGUDA _933639
650			_aMEDICINA CLÍNICA GENERAL _953666
650			_aDERMATOLOGÍA GENERAL _954449
650			_aENFERMEDADES INFECCIOSAS GENERALES _954087
650			_aREUMATOLOGÍA GENERAL _954450
700			_aSise, Meghan E. _954605
700			_aRapalino, Otto _954606
700			_aBranagan, Andrew R. _954607
700			_aTrivin-Avillach, Claire _954608
773	0		_022717 _922684 _dMassachusetts NEJM Group _oNEJM016 _tThe New England Journal of Medicine _wESSALUD _x0028-4793
942			_cARTICULOS _e2026-08-31 _zsqb
999			_c22935 _d22935