Case study of patient with diabetic nephropathy and emerging subacute cutaneous lupus erythematosus

Introduction: Diabetes is one of the chronic diseases spread worldwide. Diabetic kidney disease (DKD) also known as Diabetic Nephropathy, is a chronic, progressive disease that is the most common cause of end-stage renal failure. High BP with chronic blood glucose level damage tiny blood vessels in the kidney and their function. Cellular degradation in the nephron and podocytes of the renal glomeruli, contributes to the impairment of renal function. As diabetic nephropathy majorly seen in aged person precaution should be taken while selection of drug.

Case presentation: The patient, in this report, is a 60-year-old male who was working as driver. Patient having diabetic history in their family. His mother has diabetes mellitus. He is with 10 years history of both hypertension and diabetes mellitus. Then in 2021 he was also infected by COVID-19 during pandemic. After few weeks of recovery patient start experiencing swelling feet and lower legs during night time. Blood test reveals elevated creatinine level and patient suffered rapid progression of DKD. The condition known as diabetic nephropathy. Despite aggressive treatment, the patient finally became dialysis dependent. Now past few weeks the patient is also suffered from newly developing skin disease. His skin become getting darker. Histomorphological features suggestive of Subacute Lupus Erythematosus. Results and discussion: Now patient is following regular medication and diet. Patient taking doctor’s monthly appointment and following maintenance dialysis three times a week.