A 4-year-old boy presents with periorbital and ankle edema. Vital signs show BP 105/68 mmHg, HR 98 bpm, RR 22/min, temp 37.2°C, SpO2 98% on room air. Urinalysis reveals 4+ proteinuria without hematuria or RBC casts. Serum albumin is 2.1 g/dL (normal 3.5-5.0), total cholesterol 285 mg/dL, and serum creatinine 0.8 mg/dL. Complement levels are normal. Which of the following is the most likely diagnosis?
- A)Poststreptococcal glomerulonephritis
- B)Minimal change diseaseGABARITO
- C)Acute interstitial nephritis
- D)Rapidly progressive glomerulonephritis
- E)IgA nephropathy
Explicação
Minimal change disease is the most common cause of nephrotic syndrome in children and presents with edema, heavy selective albuminuria, hypoalbuminemia, and hyperlipidemia. The glomeruli appear normal on light microscopy, but electron microscopy shows diffuse ... Ver explicação completa e trilha adaptativa →