1. Anasarca in a Patient With Polyneuropathy
Daniel Amador-Robles, María Rodríguez-Armida, Irene Treviño-Frenk, Norma O. Uribe-Uribe, Giovani Arnoldo Molina-Paredes, José Argenis López-Sánchez, Juan M. Mejia-Vilet 
American Journal of Kidney Diseases 
Volume 74, Issue 1, Pages A11-A14 (July 2019)
DOI: /j.ajkd
Copyright © 2019 National Kidney Foundation, Inc. Terms and Conditions

2. Figure 1
Kidney biopsy revealed 19 glomeruli with (A) mesangial expansion, fragmented erythrocytes (small arrows), and microaneurysms (white arrows), and some mesangial areas showed (B) rarefied matrix (“mesangiolysis,” arrows). There was also (B) endocapillary hypercellularity (asterisk) and mild tubular atrophy and interstitial fibrosis. Medium-sized arteries displayed intimal fibrosis that occluded 20% of the lumen. (C) Electron microscopy showed edematous endothelial cells with loss of fenestration and detachment from the glomerular basement membrane (letter e; original magnification, ×1.9) by the interposition of (C, D) an amorphous granular material (black stars). (D) Fragmented erythrocytes trapped within this material were focally observed (labeled fe; original magnification, ×2.5).
American Journal of Kidney Diseases  , A11-A14DOI: ( /j.ajkd )
Copyright © 2019 National Kidney Foundation, Inc. Terms and Conditions