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.
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Tuberculous mastitis is a rare presentation of tuberculosis, which is a major health problem in kidney transplant recipients due to its high
incidence and prevalence, and difficulty in diagnosis as well as high risk of morbidity and mortality. In daily practice, physicians may
frequently be led to a misdiagnosis such as breast carcinoma or abscess. We believe it is crucial for clinicians to recognize this important
presentation of the disease. Therefore, we present a case of tuberculous mastitis in a kidney transplant recipient who was admitted with fever
of unknown origin and successfully treated using standard anti-tuberculosis therapy without any complications.
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