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MCQ – 68084

Question

 Glomerulopathy seen in a case of infection caused by the organism as shown in the image:
A.

 Diffuse glomerulosclerosis

B.

Memebranous glomerulopathy

C.

 Mesangio-proliferative glomerulopathy 

D.

Focal segmental glomerulosclerosis

Show Answer

Correct Answer � D

Explanation

Ans:D.) Focal segmental glomeruloscleosis

Organism shown in the image : HIV

HIV-associated nephropathy

  • It refers to kidney disease developing in association with HIV infection. 
  • The most common, or “classical”, type of HIV-associated nephropathy is a collapsing focal segmental glomerulosclerosis.

Focal segmental Glomerulosclerosis

  • The most common clinical presenting feature of FSGS (>70% of patients) is nephrotic syndrome, characterized by generalized edema, massive proteinuria, hypoalbuminemia, and hyperlipidemia.

Causes:

FSGS can be “primary” or “secondary” in nature.

  • Primary FSGS means that the disease happened on its own with out a known or obvious reason.
  • Secondary FSGS :
    • Kidney defects from birth (dysplasia)
    • Urine backing up into kidneys (kidney reflux)
    • Obesity
    • Obstructive Sleep Apnea
    • Viruses and blood disorders (such as HIV and sickle cell anemia)
    • Autoimmune disorders (such as lupus and HSP)
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