A 9 year old boy is brought to the emergency department because of dark urine and facial swelling. Two weeks ago he had a sore throat that resolved without treatment. Blood pressure is elevated for age. Urinalysis shows red blood cell casts and mild proteinuria. Serum complement C3 level is decreased. Which of the following is the most likely diagnosis?
- A)Alport syndrome
- B)IgA nephropathy
- C)Poststreptococcal glomerulonephritisGABARITO
- D)Membranous nephropathy
- E)Minimal change disease
Explicação
Poststreptococcal glomerulonephritis is correct. The latent period after streptococcal pharyngitis, cola colored urine, hypertension, red cell casts, and low complement are classic for this immune complex mediated nephritic syndrome. Subepithelial hump shaped ... Ver explicação completa e trilha adaptativa →