A 15 -year-old girl with a 2 -week history of facial swelling. She has also noticed some swelling of her ankles in the last 3 days and that her urine has become quite frothy. She has no past medical history and is not taking any medications. Examination: Urine dipstick proteinuria 4+.
Negative for haematuria, nitrites and leucocytes Albumin 18 g/dL, Na 136 mmol/L, K 4.0 mmol/L, Urea 4 mmol/L, Creatinine 50μ mol/L, 24 -hour urine protein – 5 g US renal tract – two unobstructed, normal -sized (10 cm) kidneys Based on this clinical presentation, what is the most likely diagnosis? *This case is from Docplexus editorial team for educative purpose only. Source: Clinical Cases Uncovered-Nephrology
