The renal biopsy of a 6–year–old boy with recurrent gross hematuria shows IgA nephropathy. The urinary protein excretion is 130 mg/day. Which of the following is the most appropriate next step in the management –
Correct Answer: Administer corticosteroids
Description: T/T of IgA nephropathy
There is no proven tit for IgA nephropathy.
The primary t/t is proper blood pressure control.
The drugs which have been proved useful are:-
i) Fish oil (It contains omega - 3 fatty acids).
It is an anti-inflammatory agent and it prevents the rate of renal progression.
ii) Immunosuppressive therapy -
It is done with corticosteroids with or without cytotoxic therapy.
iii) ACE inhibitors and Angiotensin II receptor antagonists -
Their role in reducing proteinuria and retarding the rate of renal progression is still to be determined.
iv) Prophylactic antibiotics and tonsillectomy -
It may reduce the frequency of gross hematuria but they have no effect on the progression of renal disease.
Category:
Pediatrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now