I was wondering how would you treat this interesting case:
19 y/o M with 1 year of hematuria/proteinuria and normal baseline Creatinine presents with AKI (Cr as high as 220) , pathology compatible with crescentic IgA nephropathy (above 50% crescents with no significant chronicity) , with no treatment Cr goes back to almost baseline in one week post presentation, continues to have hematuria with subnephrotic proteinuria.
Pt is currently on steroid. would you add any other immunosuppressive medication? I myself have never seen a crescentic GN gets better this quickly and with no treatment.