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Rapidly progressive crescentic diabetic nephropathy: two case reports
Jade E Schroers1, Alexander M Gilbert1, Paul R McKenzie2
1Kidney Centre, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Abstract:
Crescents are not a well recognised feature of diabetic nephropathy. We present two cases of patients presenting with a rapid decline in renal function and subacute onset of nephrotic syndrome. Glomerulonephritis screening was negative, and renal biopsy revealed non-necrotising cellular crescents and typical features of late-stage diabetic nephropathy. We review the literature for diabetic nephropathy with crescents and explore possible underlying mechanisms.
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