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15 June 2022: Articles

A 28-Year-Old Woman Presenting with a Clinical Flare of Systematic Lupus Erythematosus and Abdominal Pain Due to Rectus Sheath Hematoma

Rare coexistence of disease or pathology

Jin-Lan Liao * , Feng-Yan Zha * , Brendan Smyth D , Zu-Ying Xiong D*

DOI: 10.12659/AJCR.935472

Am J Case Rep 2022; 23:e935472

Figure 3. Photomicrograph of the histopathology analysis of the renal biopsy findings in a 28-year-old woman with a flare of systematic lupus erythematosus. (A) The renal glomeruli show mild to moderate segmental mesangial hypercellularity, increased mesangial cells, and thickening of the glomerular basement membrane. Periodic acid-Schiff. Magnification ×100. (B) Thickening of the glomerular basement membrane, segmental and mesangial capillary wall necrosis is present with mild tubular atrophy. Masson’s trichrome. Magnification ×60. (C) The renal interstitium shows fibrosis and infiltration with mononuclear cells. Hematoxylin and eosin. Magnification ×60. (D) Silver staining shows thickening of the tubular and glomerular basement membrane. Methenamine-silver. Magnification ×40. These histological features are consistent with SLE membranoproliferative glomerulonephritis, Class III and Class V.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923