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  Monday, 18 February 2019
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Hello ,
I am a 52 year old Asian female
I have had persistent microhaematuria for 3 years.
My egfr has been between 70 and 90.
My recent ACR is abnormal with a ACR of 33.5. ( attatched )
I am normotensive
My BMI is 30
My diabetes screen has been negative
I have a very strong Family History of Multi infarct Dementia , my father died at 54 of the same.

Please could I ask ..
Does this suggest an underlying autoimmune vasculitic process ?
Should I take statin? 7417665A-EF54-453D-BF88-E715203F3BF9.jpeg

The information provided does not help rule in or out vasculitis. But given the fact that you are Asian, I would say microhematuria with microalbuminuria (MAU) is statistically more suggestive of IgA nephropathy. Vasculitis workup would require an assessment of serum ANCA levels and in some cases a kidney biopsy. Fortunately, in your case as you are normotensive with relatively normal kidney function and only MAU, your prognosis is very favourable. The key would be ensuring stability of all of the above parameters. As for the statin in this case, I would guide that decision based on your LDL and your assessed cardiovascular risk - it wouldn't have much impact on the kidney in my opinion. You may however consider treatment with an ACE inhibitor or angiotensin receptor blocker from the point of view of kidney protection.

I can only base my opinion on the information provided and your health-care provider might arrive at different conclusions once you have provided an entire history and had a physical examination performed. As always, this forum provides general medical information only and is limited to educational use only. Please discuss the above remarks with your health-care provider.
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