Question:

The most common presentation of IgA nephropathy is?

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Think of visible blood in urine timed with a sore throat or cold.
Updated On: Jun 24, 2026
  • Nephrotic syndrome
  • Nephritic syndrome
  • Microscopic hematuria
  • Repeated gross hematuria
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The Correct Option is D

Solution and Explanation

Step 1: IgA nephropathy (Berger disease) is the most common primary glomerulonephritis worldwide and results from mesangial deposition of IgA immune complexes.

Step 2: Its classic clinical hallmark is recurrent episodes of gross (macroscopic) hematuria occurring during or immediately after an upper respiratory tract infection (synpharyngitic hematuria).

Step 3: Therefore the most common presentation is repeated gross hematuria.

Step 4: The distractors are less typical: nephrotic syndrome is uncommon in IgA nephropathy, a frank nephritic picture is not the usual mode of onset, and microscopic hematuria, while present, is the asymptomatic interval finding rather than the classic presenting feature.
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