Patient is a 25-year-old male with hypertension and nephrotic range proteinuria identified approximately one year prior to current presentation.
Ankle fracture due to motor vehicle accident
Positive for hypertension in father, and cerebrovascular accident involving his mother.
Blood Pressure: 118/78 mm Hg
No rash, ulcers, or joint effusion.
Laboratory and other data:
Total cholesterol 170
Infectious and serological workup unrevealing.
Urinary albumin to creatinine ratio >6000 mg/g
Short term follow up:
Interim history: Enrollment into research protocol for the study of genetic or acquired forms of C3 GN was considered, however, he did not meet inclusion criteria and the various differentials were debated, including post-infectious versus C3 glomerulopathy.
Workup negative, including HIV, hepB/C, Parvo-virus, no IVDU, no suspicious drugs or medications.