Figure 632

Patient with hepatosplenic schistosomiasis, complicating intestinal mansoniasis. Note the shrunken liver and very large spleen, surface marked on the abdominal wall by black ink. Of these patients, 15% develop clinically overt glomerular lesions. Half of the 15% become hypertensive, most become nephrotic at some stage, and almost all progress to end-stage disease [54].

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