KROK 1 2013 – Question 66 · KROK (Medicine) · Pathomorphology

14 days after quinsy a 15-year-old child presented with morning facial swelling, high blood pressure, "meat slops" urine. Immunohistological study of a renal biopsy sample revealed deposition of immune complexes on the basement membranes of the capillaries and in the glomerular mesangium. What disease developed in the patient?

  1. A. Lipoid nephrosis
  2. B. Necrotizing nephrosis
  3. C. Acute interstitial nephritis
  4. D. Acute glomerulonephritis
  5. E. Acute pyelonephritis
Hint

Combine the delay after a throat infection, the nephritic picture and the deposits along the capillaries and mesangium to decide which kidney compartment is injured and by what immune mechanism.

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