IgA nephropathy 

(acute self limiting exacerbations, visible hematuria, RTI)

SAQ. A 26-year-old man developed frank haematuria for the last 3 days. He has a history of sore throat 10 days back. He had similar attacks of hematuria twice before. His blood pressure was 150/95 mmHg. Urinalysis was positive for blood (4+) and protein (2+). 

Q. What is the most likely diagnosis?

• • Most likely diagnosis is IgA nephropathy 

Q. How will you investigate the case?

Q. Mention 5 (five) important indications of glucocorticoid treatment for this patient.

Indication of steroid

1. 1. Male sex
   2. HTN
   3. Persistent & severe proteinuria
   4. Increased creatinine at presentation
   5. Rapid rate of decline in renal function
   6. Tubulo-interestitial fibrosis on renal biopsy.