M193: Kidney

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Clinical history : A male child I I years old with nephrotic syndrome for 4½ years had massive oedema and ascites, gross albuminuria and low serum albumin values. The serum urea value was normal.
Autopsy findings : 1. Pronounced peripheral oedema. 2. Severe ascites and secondary acute peritonitis. 3. Bronchopneumonia. 4. Large pale kidneys with lipid material visible in renal tubules.
Diagnosis: Membranous nephropathy and nephrotic syndrome (lipid nephrosis)

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