An otherwise healthy 34-year-old woman is found to have a serum creatinine of 2.6 mg/dL during routine lab work ordered. An initial workup for renal insufficiency was negative. Further questioning revealed that she was taking food supplements which contained with added creatine. What is the most likely reason for an increase in creatinine? 1.

IgA nephropathy 2. Polycystic kidney disease 3. Creatine supplements 4. Urinary obstruction *This case is from Docplexus Editorial Team for educative purpose only.