26th June 2023

A 55-year-old woman attends the renal clinic for a biopsy after being referred by the GP due to proteinuria on urine dipstick

A 55-year-old woman attends the renal clinic for a biopsy after being referred by the GP due to proteinuria on urine dipstick. Her renal function was stable on routine blood tests. The biopsy shows a ‘spike and dome’ appearance on electron microscopy.

What is the most appropriate first line treatment option?

Select the SINGLE most appropriate option from the list below. Select ONE option only.