Which of the following conditions is associated with minimal change disease?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

Minimal change disease, primarily affecting children, is characterized by nephrotic syndrome, which entails significant proteinuria, edema, and hypoalbuminemia without apparent structural changes seen in kidney biopsies. The correct connection to minimal change disease lies in its association with various triggers, particularly infections or vaccinations. These events can lead to an abnormal immune response, resulting in the podocyte dysfunction present in minimal change disease.

Infections, especially respiratory infections, or the administration of vaccinations can initiate or exacerbate the condition. The immune system's response to these stimuli may provoke the alterations in the glomerular filtration barrier, which are a hallmark of minimal change disease.

Conditions like chronic kidney disease and hypertension do not have a direct relationship with minimal change disease; rather, they are associated with different types of renal pathology often characterized by distinct structural changes. Urinary tract infections are also not directly linked to minimal change disease in the same mechanistic way that infections and vaccinations are. Thus, the best association with minimal change disease is indeed infections or vaccinations, highlighting the disease's potential triggers in susceptible individuals.

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