37   years old female pt 
before   6  years   she was  follow by dr  jameel  alzaro   forn easy bruces
 then she has long  standing istory   for  generalzied  w eakness 
and palpitation 
she  was refered   for  the hematuria 

she was admitted to alia  hspital  as acase of  lower limbs  edema 
she was  given  steiod  improvemtn 

