32 year old man,electrician by occupation in mumbai came to OPD 4 months back with acute onset of seizures. HOPI: patient was apparently asymptomatic 3 years back and then he developed pain in the loin region for which he went to private hospital in Mumbai and he was diagnosed with bilateral renal caliculi and bilateral stunts were placed. After 4 to 5 months stunts were removed,after 1 week of removing stunt again he started developing pain in the loin region. He was taken to the same hospital and bilateral renal stunts were placed again. 1 year ago he started developing multiple scaly,itchy, hyperpigmented lesions over the trunk,inner thigh and groin. Last year he returned to the hometown near Nalgonda, and started farming. He stopped using his medications few months after he lost his brother due to cardiac arrest. 3months ago he presented with an acute episode of seizures which lasted for 15 minutes. He was then bought to our hospital. He was found to have high creatinine value a