Three years earlier acute extracapillary glomerulonephritis. Now CRP somewhat increased, mild pro-teinuria and microscopic hematuria. P-ANCA +, MPO titre high. Serum creatinine is normal and the patient is symptome free. Renal biopsy is performed to detect any active renal vasculitis.
Immunofluorescence: Very scanty, granular, mesangial deposits of IgM (‘pauci-immune’).
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