Remembering the Basics: A Patient with Sickle Cell
Disease and Proteinuria
Patients with sickle cell disease (SCD) tend to develop many renal abnormalities, including concentration defect, renal
papillary necrosis, and glomerulopathy that often presents with proteinuria. We report a case of a patient who presented
with sickle cell crisis and proteinuria. A diagnosis of SCD glomerulopathy was confirmed with renal biopsy. Treatment with
angiotensin-converting enzyme inhibitor was initiated, and proteinuria rapidly reduced to 0.27 g/day. It is crucial for a
clinician to recognize this important complication and take necessary precautions to delay progression to end-stage renal
disease.