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Image Based Question-68080

Question

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.

 

Show Answer

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.
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