Question

An 8-year-old boy presents with periorbital and leg oedema. Urinalysis shows 4+ protein and no blood. Serum albumin is low and cholesterol is elevated. Blood pressure is normal. What is the most appropriate next step?

Accepted Answer

Start high-dose oral prednisolone and refer to paediatric nephrology

Answer

Reassure and review in 6 months

Answer

Start ACE inhibitor only

Answer

Treat with loop diuretic alone

Answer

No further investigation is required

Practice question

An 8-year-old boy presents with periorbital and leg oedema. Urinalysis shows 4+ protein and no blood. Serum albumin is low and cholesterol is elevated. Blood pressure is normal. What is the most appropriate next step?