Figure legends
Figure.1 Computer tomography showed bilateral pleural effusions and ascites but no organomegaly.
Figure.2 Renal histological analysis.
a. There were diffuse and global endothelial cell enlargement by cytoplasmic swelling with large numbers of inflammatory cells.b. Mesangiolysis. Partial dissolution of the mesangial matrix (arrow head). c. Endothelial cell swelling (arrow head).d. Endothelial cell swelling occluding the capillary lumen (star) with loss of fenestrations (triangle), and expansion of the subendothelial space (diamond). Fibrin deposition was observed (white arrow). e. Expansion of the subendothelial space was observed.f,g. Immunoperoxidase staining for CD34 (f) and CD68(g) was positive.