Four Children and 2 Adults Are Currently Being Followed in a Nephrology

question 807

Multiple Choice

Four children and 2 adults are currently being followed in a nephrology clinic for poststreptococcal glomerulonephritis.  Three patients initially had gross hematuria and edema requiring diuretic administration.  The remaining 3 patients had microscopic hematuria and hypertension.  C3 levels were decreased in all patients, and antistreptolysin O titer was elevated in 4 of them.  None of the patients have preexisting renal disease.  Which of the following patient characteristics is most likely to indicate a poor long-term prognosis?

• A)Adult onset
• B)Decreased C3 level
• C)Delay in corticosteroid treatment
• D)Elevated antistreptolysin titer
• E)Gross hematuria

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