A

Minimal change disease classically causes a purely nephrotic picture (heavy proteinuria and edema) and microscopic hematuria is uncommon, occurring far less often than in other glomerular diseases such as membranous nephropathy, FSGS or IgA nephropathy, where gross or microscopic hematuria is frequent. Therefore the described combination of marked hematuria with red cell casts is least compatible with minimal change disease [Kumar et al., 2003, PMID 12743793].