What Caused her Fall? A Clinical Case of Leg Swelling

Abstract

Minimal change disease MCD is typically not a disease seen in adults as it comprises only 10-15 of cases 1 Disease can be further characterized as primary idiopathic or secondary Typical secondary causes include drugs such as NSAIDs and Lithium and malignancies including Non-Hodgkin Lymphoma Thus secondary causes are often the culprit We present a 47-year-old African-American female patient with a history of Multiple Sclerosis MS and HIV who presented with sudden onset worsening lower extremity edema and 6 6 grams g urine protein to creatinine ratio with primary MCD