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Kidney Diseases

Henoch Schonlein Purpura

12/16/2009

Question:

Hi I was diagnosed with Henoch Schonlein Purpura in 1990 and was on steroids for four years. I have since been discharged by the hospital. I had to have a medical exam for a visa and the results show that I have abnormal blood counts: mcv 101 and mch 33.3 serum b12 948 and serum folate normal. I also have abnormal creatinie/microalbumim of alb/cr ratio 12.5. I have no idea of what any of this means and everything else including renal function appears normal. But could this just to be due to the virus leaving damage as I did have it in my kidneys. Thanks for your time.

Answer:

You certainly could have had some renal scarring which now is reflected in your urine. Your MCV of 101 cannot be explained by your residual renal scarring. I would check with your doctor for a more complete explanation as the data base you provided is not complete.

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Response by:

Thomas   Zipp, MD Thomas Zipp, MD
Assistant Professor of Medicine
School of Medicine
Case Western Reserve University