A 22-year-old woman with a family history of benign hematuria presents with persistent microscopic hematuria on routine urinalysis. Vital signs are normal (BP 118/76, HR 72, RR 16, Temp 98.6°F, SpO2 98%). Serum creatinine is 0.9 mg/dL. Urinalysis shows RBCs without casts or proteinuria. Audiometry demonstrates normal hearing. She denies gross hematuria, flank pain, or recent infections. Which of the following is the most likely diagnosis?
- A)Thin basement membrane diseaseGABARITO
- B)Poststreptococcal glomerulonephritis
- C)Focal segmental glomerulosclerosis
- D)Alport syndrome
- E)Rapidly progressive glomerulonephritis
Explicação
Thin basement membrane disease causes isolated benign familial hematuria due to diffuse thinning of the glomerular basement membrane. Renal function is usually preserved, and there are no extrarenal findings such as hearing loss that would suggest Alport syndr... Ver explicação completa e trilha adaptativa →