Q:

Which ONE of the following is not a feature of diabetic kidney?

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Which ONE of the following is not a feature of diabetic kidney?


  1. Crystals in the collecting tubules.
  2. Hyaline nodules at the periphery of the glomerular tuft.
  3. Hyaline thickening of the glomerular capillary basement membrane.
  4. Ischaemic glomerular change.
  5. Papillary necrosis.

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The answer is A. Crystals in the collecting tubules are a feature of gout. Hyaline nodules (Kimmelstiel-Wilson) are seen in nodular glomerulosclerosis (B). Basement membrane thickening (C) is seen in diffuse glomerulosclerosis.

As a result of hyaline thickening of the afferent arterioles ischaemic glomerular damage (D) may occur.

Papillary necrosis (E) is commonly seen in diabetic kidneys.

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