Figure 225

Chest radiograph of alveolar hemorrhage. This patient has antiglomerular basement membrane-mediated glomerulonephritis complicated by pulmonary hemorrhage (Goodpasture's disease). Note the butterfly appearance of the alveolar infiltrates characteristic of intrapul-monary (alveolar) hemorrhage. Such lesions can also occur in patients with antineutrophil cytoplasmic autoantibody-associated vasculitis and glomerulonephritis, lupus nephritis (SLE), cryoglobulinemia, and rarely in Henoch-Schonlein purpura (HSP).

Small kidneys

T Serum creatinine

Proteinuria "Nephritic" sediment

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