As the exact details of her diagnosis and treatment course were unclear, her previous medical records were requested. At the time the diagnosis was made, she had fever and abdominal pain. She was found to be in acute renal failure and had gross hematuria. All the work-up done at that time, including the renal biopsy was negative, with the exception of renal angiogram which revealed changes consistent with PAN. She completed a course of cyclophosphamide and steroids over the span of 18 months, with complete resolution of symptoms and normalization of the renal angiogram. Thereafter, she was lost to follow up, until she established care at our
As the exact details of her diagnosis and treatment course were unclear, her previous medical records were requested. At the time the diagnosis was made, she had fever and abdominal pain. She was found to be in acute renal failure and had gross hematuria. All the work-up done at that time, including the renal biopsy was negative, with the exception of renal angiogram which revealed changes consistent with PAN. She completed a course of cyclophosphamide and steroids over the span of 18 months, with complete resolution of symptoms and normalization of the renal angiogram. Thereafter, she was lost to follow up, until she established care at our