A 38 year old woman came to our attention with columnar lower limbs oedema and developed over the three days before, macrohematuria since twenty days before, anemia, hypoalbuminemia and lowered values of all serum electrolytes. Renal function was in normal range. A modest cognitive slowing was present. A past history of congenital hydrocephalus, with several ventriculo atrial shunts changed over time, with residual mental retardation, was reported. A fractious cough since she was 6 years old after one of the …
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