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02 November 2021: Articles

Glucocorticoids Induce Partial Remission of Focal Segmental Glomerulosclerosis but Not Interstitial Nephritis in COVID-19 Acute Kidney Injury in an APOL1 Low-Risk Genotype White Patient

Challenging differential diagnosis, Rare coexistence of disease or pathology

Piotr J. Nowak A* , Joanna Forycka B , Natalia Cegielska B , Karolina Harendarz B , Małgorzata Wągrowska-Danilewicz B , Marian Danilewicz B , Tomasz Płoszaj B , Maciej Borowiec C , Rafał Wlazeł B , Michał Nowicki D

DOI: 10.12659/AJCR.933462

Am J Case Rep 2021; 22:e933462

Table 2. Summary of urine laboratory evaluations during hospitalization.

Laboratory testReferenceHospital day
12121718
24-hour proteinuria22.626.5
ACR19824100
Urinalysis
AppearanceClearHazyHazyClear
BilirubinNegativeNegativeNegativeNegative
BloodNegative+Negative+
ColorColorless, straw, yellow, pale yellowYellowYellowPale yellow
GlucoseNegativeNegativeNegativeNegative
KetonesNegativeNegativeNegativeNegative
Leukocyte esteraseNegativeNegativeNegativeNegative
NitrateNegativeNegativeNegativeNegative
pH4.5–8.05.05.06.0
ProteinNegative10.2 g/L9.5 g/L4.9 g/L
Specific gravity1.005–1.030 g/mL1.0201.0201.016
Urobilinogen< 17
Urine sediment
Amorphous crystalsNone seen, rare, occasional/HPFNone seenRareNone seen
BacteriaNone seen, rare/HPFRareRareRare
CastsNone seen/LPFRare: coarse granular, and hyline granular; Occasional: fine granularOccasional: fine granular and hyline granularOccasional, hyline casts
MucusNone seen/LPFRareRareRare
RBC0–2/HPFOccasional1–21–3
Renal epithelial cellsNone seen/HPFRareOccasionalNone seen
Squamous epithelial cells0–20/LPF15OccasionalOccasional
WBC0–5/HPF10–151–31–2
YeastNone seen/HPFNone seenNone seenNone seen
ACR – albumin/creatinine ratio; HPF – high-power field; LPF – low-power field; RBC – red blood cells; WBC – white blood cells.

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