before   2  years  she  discovered to have   proteinuria     and  she  sought medicala dvice at dr bilal  and  then she     sought another    time    for  whcih  she   was referred to us 

joint pain   larg  joint    with morning  stiffessn 
no oral ulceration 
diarrhea     recurrent stbale weight no  dysuria 
no skin  rash 

labs   hba1c   5.3
tsh  3,6
urine analysis showed  +3  and  blood 
in 17/6  it  was   +2    proetinuria 
albumin   4.8
creatinine 0.7 
ANA  NEGATIVE    
C3 C4   NORMAL 

24HOUR  URINE COLLECTION    248 LAST  YEARB

PLAN 
ATACAND 