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Figure 1. Abdominal arteriography was performed in a 21-year-old drug abuser who presented with rapidly progressive renal failure. During the previous two months she had had fever and diffuse abdominal pain and had lost 12 kg in weight. The recent onset of hypertension (blood pressure, 150/120 mm Hg) and cardiac failure was also noted. Tests for hepatitis B surface antigen, hepatitis B virus DNA, and hepatitis C virus antibody were positive, but a test for human immunodeficiency virus antibody was negative. Selective arteriography of the right kidney (Panel A) revealed multiple aneurysms with vessel narrowing and irregularity in medium-sized . . . [Full Text of this Article] |