Focal Segmental Glomerulosclerosis (FSGS) is the commonest cause of nephroticsyndrome in adults. Immunoglobulin-A Nephropathy (IgAN) is a common cause of hematuria, however it is uncommon to present with ephritic syndrome. Recent studies showed that nephroticsyndrome in IgAN could be secondary to podocyte injury with segmental sclerosis similar to the FSGS. Here, we are reporting a case of coexisting FSGS and IgAN as two different renal pathologies.
 

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