03-15-2008, 07:05 AM
15 yr. old girl has had increasing lethargy folowing a bout of the "flu" 3 weeks ago. On physical examination there are no abnormal finding. Her condition does not improve after 3 weeks on corticosteroid therapy, so a renal biopsy is performed. Microscopic examination shows segmental sclerosis of 3 of 10 glomeruli identified in the biopsy specimen. Immunofluorescence studies and electron microscopy do not show immune deposits. What is the most appropr. advice to give the girl's parents regarding her condition?
A She may require a renal transplant in 10 years
B She will probably improve with additional corticosteroid therapy
C She will likely develop a restrictive lung disease
D She has an underlying malignancy
E She will improve if she loses weight
A She may require a renal transplant in 10 years
B She will probably improve with additional corticosteroid therapy
C She will likely develop a restrictive lung disease
D She has an underlying malignancy
E She will improve if she loses weight