« Previous American Journal of Kidney Diseases
Volume 53, Issue 3 , Pages A35-A37 , March 2009

Quiz Page March 2009: A 58-Year-Old Man With Chronic Hepatitis B, Nephrotic Syndrome, and a Papulosquamous Rash

Immunoperoxidase staining with antispirochete antibody. Black staining shows spiral bacteria in the skin biopsy specimen.

Immunoperoxidase staining with antispirochete antibody. Black staining shows spiral bacteria in the skin biopsy specimen.
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Light microscopy of entire glomerulus with methenamine silver stain (Jones' stain).

Light microscopy of entire glomerulus with methenamine silver stain (Jones' stain).
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(A, B) Electron micrographs of kidney biopsy specimen.

(A, B) Electron micrographs of kidney biopsy specimen.
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Case provided and authored by Wouter Hoefsloot, MD,¹ Louis Reichert, MD, PhD,¹ Jos Meijer, MD, PhD,² and Clemens Richter, MD, PhD,¹ Departments of ¹Internal Medicine and ²Pathology, Rijnstate Hospital, Arnhem, The Netherlands.Address correspondence to Clemens Richter, MD, PhD, Department of Internal Medicine, Rijnstate Hospital, PO Box 9555, 6800TA Arnhem, The Netherlands. E-mail: crichter@alysis.nl

Support: None.

Financial Disclosure: None.

PII: S0272-6386(08)01719-8

doi: 10.1053/j.ajkd.2008.11.020

« Previous American Journal of Kidney Diseases
Volume 53, Issue 3 , Pages A35-A37 , March 2009