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Figure 4 | Journal of Medical Case Reports

Figure 4

From: High-dose methylprednisolone pulse therapy for treatment of refractory intestinal involvement caused by Henoch–Schönlein purpura: a case report

Figure 4

Kidney involvement of Henoch–Schönlein purpura. The biopsy reveals 9% segmental loop necrosis. A) Polymorphonuclear cell infiltration and B) segmental mesangial proliferation. C) Periodic acid–Schiff stain with hematoxylin and eosin stain, ×400. D) The mesangial deposit is observed on electron microscopy. E) The immunoglobulin A deposit is 3+ on immunofluorescence microscopy. Overall, grade II Henoch-Schönlein purpura nephritis is diagnosed based on the International Study of Kidney Disease in Children grading system [7].

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