Question
An elderly male patient presented with blurring of vision. Fundus examination revealed cotton wool spots on retina and systemic examination showed decreased peripheral sensations and decreased urine output.
| A. |
Kimmelstiel-Wilson lesion
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| B. |
Crescents
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| C. |
Amyloid deposits
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| D. |
Hyaline atherosclerosis
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Show Answer
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Correct Answer � A
Explanation
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Answer- A. Kimmelstiel-Wilson lesion
- Nodular Glomerulosclerosis. This is also known as inter-capillary glomerulosclerosis or Kimmelstiel-Wilson disease.
- The glomerular lesions take theform of ovoid or spherical, often laminated, nodules of matrix situated in the periphery of the glomerulus. The nodules are PAS-positive. They lie within the mesangial core of the glomeralar lobules and can be surrounded by patent peripheral capillary loops or loops that are markedly dilated.
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