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Upstate Medical university Case Study

A Dry Eye in the House (return to case list)

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A 52-year old woman with Sicca syndrome and distal renal tubular acidosis has a history of diabetes and hypertension and previous gastric bypass surgery. She presents now with a sub-acute progression of renal insufficiency with a serum creatinine currently at 2.7 mg/dl.

A renal biopsy was performed.

Pathology Report

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Glomeruli are generally intact. The interstitium is massively widened by mononuclear inflammatory cell infiltration and there is some lymphocytic tubulitis.

1. What is the morphologic diagnosis? (Select from List 2).
2. What is the probable clinicopathologic diagnosis? (Select from List 3).