Not all kidney disease in patients with diabetes is diabetic nephropathy
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A 63-year-old man with a history of diabetes mellitus type 2 diagnosed ~ 30 years ago associated with non-proliferative diabetic retinopathy, hypertension, chronic kidney disease stage 3 and congestive heart failure (CHF) was seen in nephrology clinic for evaluation of worsening kidney function. He did not have any symptoms except for fatigue, and denied taking any new medications or exposure to intravenous contrast in the recent past. His diabetes was well-controlled with a hemoglobin A1c of 6.3%, and blood pressure in the clinic was 124/75 mmHg. Laboratory data were significant for a serum creatinine of 5.1 mg/dL (~ 2.7 2 months prior and 1.4 a year ago) with an estimated glomerular filtration rate (eGFR) of 11 ml/min and urine protein–creatinine ratio of 3 g/g (no baseline available). Urinalysis was unremarkable except for 3+ proteinuria on dipstick. There was no peripheral eosinophilia. Renal sonogram was negative for obstructive uropathy, and demonstrated approximately 12.5-cm...
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This article does not contain any studies with human or animal subjects performed by any of the authors.
Informed consent was obtained from the patient for their anonymized data to be published.
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