A 39 year old woman with chronic hepatitis C infection presents with edema, hypertension, and dark urine. Urinalysis shows proteinuria and hematuria. Serum complement levels are low. Renal biopsy reveals hypercellular glomeruli with tram track splitting of the basement membrane on light microscopy. Which of the following is the most likely diagnosis?
- A)Acute tubular necrosis
- B)Diabetic nephropathy
- C)Minimal change disease
- D)IgA nephropathy
- E)Membranoproliferative glomerulonephritisGABARITO
Explicação
Membranoproliferative glomerulonephritis is correct. MPGN can produce a mixed nephritic nephrotic picture and is classically associated with hepatitis C and low complement levels. Mesangial proliferation with basement membrane duplication creates the tram trac... Ver explicação completa e trilha adaptativa →