30 aug 12 i got red spot or macular patches on both feet, ,physician gave me omanacontil 40mg,30mg,20mg,10,5mg each for 10 days & lazanine& atraxcin f0r 20days & blood report shows normal ony RDw 15 & esinofills 9h& esr 17 (N). ANa negative.refered to dermatologist she gave same steroid with rantec150,manikindcv625, goutnil 1/2 teblet each day 3sep, recrrence of lession on discontinue goutnil 13 sep,biopsy done 18sep shows small vessel leucocytoclastic vasculitis to continue the gountil stop omnacontilfor six month. but pain in knee &and thereafter lession recurrence stopping the goutnil . rheumatologist Inmeun-P (painkillar), cellin 500 & goutnil 1 t alternate day.complete bloodt count with ESr ESR 10(n), MCV 103.02 (H),Screatnine 0.96 rest normal ,ANCA negative,chest xray normalprotien 1, mucus thread few, slightly hazy in urine routine, . on 13 march due MCV h gave Rejuneron od 2month, Inmeun-P (painkillar),goutnil see after 3 month. 9 june S, cretnine 0.85,HBs ag negative lipid profile normal,protein 2& occult blood 3. 9 july creatinine in random urine 87.75 mg/dl, total proteine i random urine =66.3mg/dl H and creatnine & proteine ratio =0.76 H suggested to see nephrologistwith usg abdomen. neprologist urine routine protein 3,occult blood 4,epithelial cell ocassional,amorphus deposit present, c3 c4 normal,esr 6mm,24 hr urine creatnine 15.06 & creatnine in random urine =37.91 mg/dl L, 24 hr urine protien 0.79 H & total protien in random urine =27,5 H. Neprologist advised to go for Renal biopsy for management & prognosis. pls advise shold i go for biopsy?.