Image Based Question-68080

Urine samples of a patient shown in the image is most likely suffering from:

A. Minimal change disease.

B. Chronic renal failure.

C. IgA Nephropathy.

D. Nephritic syndrome.

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Correct Answer » C Explanation

Ans:C. lgA Nephropathy

Samples shown: Gross and microscopic hematuria

IgA nephropathy(Berger Disease)

• Most common primary glomerular disease in the world

• Secondary – hepatic cirrhosis, celiac disease, and infections- HIV and cytomegalovirus

• Males, 2nd or 3rd decade

• It is characterized by predominant IgA deposition in the glomerular mesangium

• Two common presentations of patients with IgA nephropathy are episodic gross hematuria and persistent microscopic hematuria.

• Recurrent macroscopic hematuria, usually associated with an upper respiratory tract infection, or, less often, gastroenteritis is the most frequent clinical presentation and is observed in 40-50% of presenting patients.