A 55-year-old male patient presented with azotemia and subnephrotic proteinuria with a serum creatinine of 3.2 mg/dl and protein creatinine ratio of 1.1 mg/dl in July 2015. He was a known hypertensive. Ultrasound showed normal sized kidneys with increased echoes. His renal biopsy revealed AERD. There was no history of prior invasive procedures.
A 56-year-old female patient, a known hypertensive, was admitted in March 2016 with a serum creatinine of 5.7 mg/dl and 2+ proteinuria. She underwent hemodialysis. Renal biopsy showed cholesterol emboli in an interlobular artery.