Severe Anemia, Hemoptysis, and Melena with Rapidly Crescentic Glomerulonephritis

Our case represents the first description of Klippel-Trenaunay-Weber syndrome along with rapidly progressive glomerulonephritis (RPGN). A 58-year-old man presented with edema and oliguria for 25 days associated with hemoptysis and melena. He had profound anemia (hemoglobin 7.1 g/dl), azotemia (serum creatinine 6.2 mg/dl) with nephrotic range proteinuria (24-hour urinary protein 4.2 g), active urinary sediment (30–40 red blood cells/high power field by …