Sunday, November 21, 2010

28 一位三星期大女嬰因全身水腫,尿量減少而就診。實驗檢查發現蛋白尿4+,24 小時蛋白尿為10.5 g,
血中白蛋白為0.88 mg/dL,膽固醇:498 mg/dL,三酸甘油脂:248 mg/dL,下列之描述何者錯誤?
預後良好,用類固醇治療後,蛋白尿與水腫可迅速獲得緩解
診斷為congenital nephrotic syndrome
先天的感染如syphilis 或HIV 可以造成此種情況
這類病人可因嚴重感染導致菌血症而死亡

A

A IS clearly contradicting to the rest of the choice!

Congenital nephrotic syndrome is an inherited disorder characterized by protein in the urine and swelling of the body.
Many cases are fatal within the first year. Congenital nephrotic syndrome may be successfully controlled in some cases with early and aggressive treatment, including early kidney transplantation.

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