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Old 08-15-2011
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Question IgA Nephropathy and Physical Exam!

A 15-year-old patient reports frank hematuria one day following an upper respiratory tract infection. The gross hematuria resolves after a few days, but microscopic hematuria persists. Renal function is normal. If IgA nephropathy is suspected, a physical exam of this patient may also reveal:
A. Freckling on the groin and axilla
B. Small palpable hemorrhage lesions on the lower leg
C. Multiple small subcutaneous lumps on trunk and back
D. 5mm coffee brown spot on chest
E. Lisch nodule on surface of the iris
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Old 08-15-2011
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B. Small palpable hemorrhage lesions on the lower leg
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Old 08-15-2011
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Correct Answer

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Originally Posted by pass7 View Post
B. Small palpable hemorrhage lesions on the lower leg
i agree, palpable purpura on buttock and legs, Iga glomerulonephropahy
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Old 08-15-2011
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Small palpable hemorrhage lesions on the lower leg, due henoch schonlein purpura..
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Old 08-15-2011
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I like B also.
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B. Small palpable hemorrhage
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Old 08-15-2011
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Henach shonlein so b
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B. Small palpable hemorrhage lesions on the lower leg
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Old 08-16-2011
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The correct answer is B.
IgA Nephropathy is associated with Henoch-Schonlein disease. Henoch-Schonlein disease presents clinically as a triad of symptoms which include purpura, arthritis and abdomen pain. A typical presentation of IgA nephropathy with Henoch-Schonlein association is a child with abdomen pain, hematuria, and upper airway infection. By contrast, all the other findings listed in the answer choices are seen in neurofibromatosis
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Old 08-16-2011
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B. Small palpable hemorrhage lesions on the lower leg
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