Case Report

Pauci-Immune Necrotizing and Crescentic Glomerulonephritis with Membranous Lupus Nephritis, Fifteen Years after Initial Diagnosis of Secondary Membranous Nephropathy

Figure 2

Electron microscopy showing extensive foot process effacement, numerous subepithelial deposits with GBM reaction-spike formation, and occasional enveloping of deposits. There are occasional mesangial deposits. Fibrin deposition was noted within Bowman’s capsule.