Q. A 44-year-old African American woman comes to the emergency department because of fatigue and periorbital swelling for the past 2 months. She has a history of sickle cell disease and hypertension. Other than a blood pressure of 175/100 mmg Hg, her vital signs are normal. Urinalysis results are shown in the table below. Renal biopsy is performed, which demonstrates podocyte effacement. What is the most likely diagnosis?