14F from China has facial puffiness, fatigue, decreased appetite. High LFTs, positive HBsAg and HBeAg. 4+ proteinuria, no RBC or casts. What dx?

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asked Mar 20, 2024 38.2k views

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Alex Metelkin · Answer 1 · 2024-03-27T15:09:28+0000

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The most likely diagnosis for a 14-year-old female from China with facial puffiness, fatigue, decreased appetite, high liver function tests, positive HBsAg, positive HBeAg, 4+ proteinuria, and no red blood cells or casts is acute Hepatitis B-associated glomerulonephritis.

14F from China has facial puffiness, fatigue, decreased appetite. High LFTs, positive HBsAg and HBeAg. 4+ proteinuria, no RBC or casts. What dx?

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