Question 237 · LEK · Nephrotic and nephritic syndromes
A 18-year-old patient without a medical history was self-referred to a family doctor due to progressive weakness, pitting edema of both lower limbs appearing in the evening, and hematuria. He had an episode of erysipelas about 3 weeks before. In the physical examination: high blood pressure and swelling of the ankles. Urinalysis revealed albuminuria 0.8 g/L and numerous erythrocytes. The symptoms most likely suggest:
- A. recurrent erysipelas.
- B. nephritic syndrome in the course of acute glomerulonephritis.
- C. renal cell cancer.
- D. nephrotic syndrome in the course of amyloidosis.
- E. nephrotic syndrome in the course of chronic glomerulonephritis.
Hint
Think which kidney disease follows a streptococcal skin infection after a latent period of a few weeks.
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