7-year-old Boy in Pediatrics — 7yo Child | Pediatric Nephrology | SMLE Q#7170

SMLE Question #7170

Pediatrics Pediatric Nephrology

Objective: OBJ-436

Last updated: February 2026
A 7-year-old boy has 3 weeks of progressive facial puffiness and swelling of the legs and lower back. Facial swelling is worse in the morning, while leg and sacral swelling worsen by evening. Examination shows periorbital edema and pitting edema of the lower limbs and sacrum. What is the most likely diagnosis?

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