A 6 year old boy is brought to the clinic for facial puffiness and swelling of the legs for 1 week. He had an upper respiratory infection 2 weeks ago. Physical examination shows periorbital edema and pitting edema of both ankles. Urinalysis shows 4+ protein with no hematuria. Serum albumin is low and serum creatinine is normal. Renal biopsy demonstrates normal glomeruli on light microscopy and diffuse effacement of podocyte foot processes on electron microscopy. Which of the following is the most likely diagnosis?
- A)IgA nephropathy
- B)Poststreptococcal glomerulonephritis
- C)Minimal change diseaseGABARITO
- D)Membranous nephropathy
- E)Focal segmental glomerulosclerosis
Explicação
Minimal change disease is correct. This child has selective albuminuria causing nephrotic syndrome after a recent infection, with normal light microscopy and podocyte foot process effacement on electron microscopy. It is the most common nephrotic syndrome in c... Ver explicação completa e trilha adaptativa →