A 61-year-old woman was admitted to this hospital because of a 2-month history of abdominal pain and weight loss and an elevated serum creatinine level. On admission, physical examination was normal except for mild abdominal tenderness. Abdominal imaging revealed no specific abnormalities. Laboratory testing revealed anemia. The creatinine level initially fell after the administration of intravenous fluids but then rose and remained elevated. On the 8th day, erythema and pain developed in the left eye. A diagnostic procedure was performed.
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