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Pathology DNB 2018 35fff900

Which disease is caused by anti - phospholipase 2 antibody:

A
MPGN
B
Membrabous glomerulopathy
C
FSGN
D
Minimal Change Disease
High-Yield Explanation
Membranous glomerulopathy:- MC nephrotic syndrome in elderly patient. Subepithelial Immune complex deposition on IF Spike and dome appearance on EM Cause by Anti phospholipase 2 receptor Antibody FSGS:- MC nephrotic syndrome in adult No immune complex deposition, -ve Immunofluorescent Effacement of foot processon EM. Minimal Changes:- MC nephrotic syndrome is children No Immune complex deposition, -ve IF Effacement of foot process on EM. MPGN :- Nephrotic syndrome involving mesangial and increase proliferation of capillary loop. Train tract appearance on H/E due to thick glomerular basement membrane. Immune complex deposition (Granular IF)

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