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smail Reisli, MD; Ahmet Özel, MD; Ümran Çalikan, MD; Münire Çakir, MD; Özden Tulunay, MD
From the Department of Pediatrics, Selçuk University Faculty of Medicine, Konya, Turkey (Drs Reisli, Özel, Çalikan, and Çakir), and the Department of Pathology, Ankara University Faculty of Medicine, Ankara, Turkey (Dr Tulunay).

Arch Pediatr Adolesc Med. 2001;155:1383-1384.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 16-YEAR-OLD BOY complained of puffiness of the face and legs that was especially noticable in the morning and had persisted for 2 to 3 months, as well as nausea, vomiting, a cough, and hemoptysis that had lasted for 2 to 3 days. He had had a tonsillectomy 5 years before and had been smoking nearly 30 cigarettes a day for 3 years. He was the child of first cousins. A physical examination showed a blood pressure reading of 120/80 mm Hg, a heart rate of 80/min, and a respiratory rate of 22/min. He was pale and weak and had marked edema in his eyelids and lower extremities. Decreased sounds could be heard at the base of the lungs. Laboratory investigations revealed a urinary pH of 5, a urine-specific gravity of 1015, proteinuria (4+), . . . [Full Text of this Article]

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