November 5, 2018
Diagnose This (November 5, 2018)
What renal state do these glomerular changes represent?
The photomicrograph shows glomerular tuft retraction with markedly corrugated glomerular basement membranes and periglomerular fibrosis. These findings are somewhat non-specific, but are often associated with kidney ischemia. In this case the patient had severe and uncontrolled hypertension with marked arteriosclerosis.