A full term 5-month-old female with history of anemia requiring periodic blood transfusions with recent elevations in creatinine and a gross proteinuria. WBC (25k/ul, Hb 5.5g/dL, Hct 17%, Ret 23%, plt 151 K/ul, MCV 97.7, MCH 31.6.RDW 32%. Creatinine 0.6. The finding of peripheral blood and Kidney biopsy are as follows.