A 7-year-old girl presents with dark urine and facial puffiness for 3 days. Two weeks prior, she had impetigo on her legs treated with antibiotics. Vital signs: BP 128/82 mmHg, HR 98/min, RR 20/min, Temp 37.2°C, SpO2 98% on room air. Serum creatinine is 1.2 mg/dL; urinalysis shows hematuria and mild proteinuria. Serum complement C3 is low; C4 is normal. Which of the following is the most likely diagnosis?
- A)IgA nephropathy
- B)Membranous nephropathy
- C)Focal segmental glomerulosclerosis
- D)Minimal change disease
- E)Poststreptococcal glomerulonephritisGABARITO
Explicação
Poststreptococcal glomerulonephritis typically occurs 1 to 3 weeks after streptococcal pharyngitis or skin infection and presents with nephritic syndrome and low complement levels. The classic pathology involves subepithelial immune complex deposits that appea... Ver explicação completa e trilha adaptativa →