Sunday 11 June 2017

Crescentic GN | DNB Based MCQ

NIME Next Batch PGI Quest in Delhi from 10 August to 20 August


Crescentic GN is seen in all of the following EXCEPT 

A. HSP 
B. Anti-basement membrane disease 
C. Alport’s syndrome 
D. PSGN

Ans. C. (Alport’s syndrome)
Explanation
Rapidly Progressive (crescentic) glomerulonephritis is divided into:
• Type I RPGN (Anti-GBMAntibody)
1. Idiopathic
2. Goodpasture syndrome
• Type II RPGN (Immune Complex)
1. Idiopathic
2. Postinfectious
3. Systemic lupus erythematosus
4. Henoch-Scholein purpura (IgA)
5. Others
• Type III RPGN (Pauci-Immune)
1. ANCA associated
2. Idiopathic
3. Wegener granulomatosis
4. Microscopic polyarteritis nodosa
2. Hereditary nephritis refers to a group of heterogenous familial renal diseases associated primarily with glomerular injury. Two important ones are: Alport syndrome and thin basement membrane disease, (the most common cause of benign familial hematuria).
• Alport syndrome, when fully developed is manifested by nephritisprogressing to chronic renal failure, accompanied by nerve deafness and various eye disorders, including lens dislocation, posterior cataracts and corneal dystrophy

• Defective GBM synthesis because of the production of abnormal collagen type IV (ca-chain in the most common X-linked forms) underlies the renal lesions