Case 34342

Presentation of CaseA forty-six-year-old man entered the hospital because of hematuria.The present illness began five weeks before admission with anorexia, nausea and occasional vomiting. At the same time he noted some red spots on his skin. These came and went and were slightly itchy but never tender. Four weeks before admission the urine was noted to be pink, and this sign also fluctuated in degree during the succeeding period. Three weeks before admission the family physician discovered albumin and red cells in the urine. No history of other abnormal bleeding could be elicited, and there were no other . . .