A 7-year-old girl presents with dark urine and facial puffiness two weeks after impetigo on her legs. Vital signs show BP 128/82 mmHg, HR 88 bpm, RR 20/min, temperature 37.2°C, and SpO2 98% on room air. Serum creatinine is 1.1 mg/dL, and complement C3 level is low. Urinalysis reveals hematuria and proteinuria. She denies recent upper respiratory infection. Which of the following is the most likely diagnosis?
- A)Membranous nephropathy
- B)Minimal change disease
- C)Focal segmental glomerulosclerosis
- D)Poststreptococcal glomerulonephritisGABARITO
- E)IgA nephropathy
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 →