Nephrotic syndrome in a 7-year-old girl with atypical hemolytic uremic syndrome relapse: Questions

Excerpt

A 7-year-old developmentally normal girl was referred to the pediatric nephrology clinic of our hospital with complaints of periorbital and bilateral leg swelling for 1 week. She was oliguric; however, there was no history of cola-colored urine or red-colored urine. There was no history suggestive of any infection or diarrhea. Her weight was 20.4 kg (− 1.98 Z), while her height was 118.5 cm (− 1.93 Z). At admission, she was found to have stage 2 hypertension (132/94 mmHg). There was no tachycardia or tachypnea. She was afebrile with periorbital and bilateral pitting pedal edema. She had some pallor too on clinical examination, but no jaundice, petechiae, purpura, or lymphadenopathy. There were no bony deformities or features of rickets. The ophthalmological evaluation was non-contributory. There was no hepatosplenomegaly. Cardiovascular, pulmonary, and central nervous system examinations were unremarkable at admission. …