42  years old old female pt 
knonw to have  chronic kidney disease  with base line creatinine  1.3 - 1.4   with +2/+3   proteinuria 
she has negative  ANA   normal C3  C4 
Abdominal us  showed  mild increase in the liver size and she also  has  mild  increase in renal echogenecity with normal size along with few  simple cycst 

she described seronegative  arthritis and she has  been maintained on salaozopyrin and  folic acid   since  5/2024 

creatinie  trend    5/2023    1.13 
26/4/2024   it  was  1.4 
3/2024  it  was  1.4 

4/2024  it was    1.38  
5/2024  it was    1.43 
uric acid was   10  in 5/2024