A 9-Year-Old Child Is Brought to the Office After Experiencing

A 9-year-old child is brought to the office after experiencing facial and ocular puffiness for two days. About three weeks ago, the patient had antibiotic treatment for a rash on her leg. The temperature is 37.2 degrees Celsius (99 degrees Fahrenheit) , and the blood pressure is 150/90 mm Hg. There is widespread edema but no rash on physical examination. Proteinuria and hematuria are shown by urinalysis. The following electron microscope picture represents this patient's illness process: The area marked by the white arrow most likely represents which of the following?

A) Albumin leakage
B) Eosinophil enzymes
C) Fibrin deposition
D) Hyaline accumulation
E) Immune complex deposits
F) Lipid droplet
G) Neutrophil enzymes

Correct Answer:

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