Nephritic syndromes (pediatrics) Quiz: Ace Your Exams
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A 16-year-old boy presents to the clinic along with a parent for evaluation of gross hematuria for 3 weeks. Medical history is notable for visual impairment and an incidental finding of microscopic hematuria on previous urinalysis. There is no history of vomiting, diarrhea, or skin rash. Temperature is 37.2°C (99°F), pulse is 75/min, respirations are 18/min, blood pressure is 140/90 mm Hg, and oxygen saturation is 99% on room air. Cardiopulmonary and abdominal exams are unremarkable. Edema is noted in bilateral lower extremities. Ophthalmologic examination reveals anterior lenticonus. Renal biopsy shows a “basket-weave” appearance of the glomerular basement membrane on electron microscopy (EM). Which of the following is most likely to be found on further questioning?
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