Diabetic nephropathy with crescentic GN

Diabetic nephropathy does not require biopsy for confirmation. In the presence of hematuria or other manifestations might suggest disease other than diabetic nephropathy. We present here a case of a 48 years old male with diabetes mel­litus (DM) for 8 years, presented with breath­lessness, abdominal pain and nausea for 10 days. He had high blood pressure of 160/80 mmHg and fundus examination showing grade III hyper­tensive retinopathy.