Post streptococcal glomerulonephritis causes -: (A) Nephritic syndrome, (B) Primary Nephrotic syndrome, (C) Secondary Nephrotic syndrome, (D) Chronic renal failure
Answer is A. Ans. is 'a' i.e., Nephritic syndrome Causes of acute nephritic syndrome in children are :1) Primary glomerulonephritis : Acute glumerulonephritis (post-streptococcal), RPGN, MPGN, focal GN and IgA nephropathy2) Systemic diseases : SLE, PAN Wegner's granulomatosis, HSP, cryoglobulinemia.Post streptococcal glomerulonephritiso PSGN appears 1 to 4 weeks after a streptococcal infection of pharynx or skin (impetigo). It is caused by certain nephritogenic serotypes of group A -hemolytic streptococcus (not by all serotypes)o The lesions are caused by immune complex deposition and activation of complement complement level decreaseso It occurs most frequently in children 6 to 10 years of ago Clinically child presents with acute nephritic syndrome :i) Hematuriaii) Oliguric acute renal failureiii) Azotemiaiv) Proteinuriav) Hypertensionvi) Edemao PSGN causes acute renal failure, but not chronic renal failure more than 95% of affected children eventually recover totally with conservative therapy.