title: Collapsing focal segmental glomerulosclerosis in a patient with systemic lupus erythematosus.
abstract: We present a case of a 36-year-old female from Ghana who presented with atypical chest pain and shortness of breath and was found to have bilateral transudative pleural effusion and trivial pericardial effusion. Further work-up revealed serological markers consistent with active lupus and negative HIV. She developed rapid deterioration of her renal function requiring dialysis. Her renal biopsy showed collapsing focal segmental glomerulosclerosis with diffuse mesangial proliferative glomerulonephritis, consistent with lupus nephritis class II along with tubular degenerative changes. She was started on high dose steroids and later on mycophenolate mofetil. Her renal function slowly recovered to baseline.
authors.affiliation: Bronx Lebanon Hospital Center, Department of Medicine, 1650 Selwyn Avenue, Suit 10C, Bronx, NY 10457, USA.
authors.forename: Hassan
authors.identifier: 0000-0002-9178-0342
authors.initials: H
authors.lastname: Tariq
authors.affiliation: Bronx Lebanon Hospital Center, Department of Medicine, 1650 Selwyn Avenue, Suit 10C, Bronx, NY 10457, USA.
authors.forename: Arsalan
authors.identifier: 0000-0001-8010-4317
authors.initials: A
authors.lastname: Rafiq
authors.affiliation: Bronx Lebanon Hospital Center, Department of Medicine, 1650 Selwyn Avenue, Suit 10C, Bronx, NY 10457, USA.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Franchin