A 34-Year-Old Man with Nephropathy

A 34-year-old man presented with worsening renal function. Eleven weeks earlier, fever, fatigue, and decreased appetite had developed. A urinalysis showed proteinuria, and imaging studies revealed nephromegaly. An additional diagnostic procedure was performed.

This case was presented at the Medical Case Conference.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

We thank Dr. Neal Smith for assistance in the interpretation of the results of the kidney biopsy.
Source Information

From the Departments of Medicine (M.E.S., R.H.G., A.S.A.), Radiology (G.C.L.), and Pathology (R.M.), Massachusetts General Hospital, and the Departments of Medicine (M.E.S., R.H.G., A.S.A.), Radiology (G.C.L.), and Pathology (R.M.), Harvard Medical School — both in Boston.
Access this article: Subscribe to NEJM | Purchase this article