<prompt> Presenting manifestation of Alpo syndrome is :HaematuriaProteinuriaOliguriaSensorineural deafness  <response>: Answer is A Haematuria:Most patients with Alpos syndrome present with haematuria.Alpo syndrome is the most common hereditary nephritis and it is characterized by haematuria - HarrisonManifestations- Renal manifestations- Extrarenal manifestations- Microscopic haematuria- Sensorineural hearing loss- Proteinuria nephrotic range - 30- Bilateral anterior lenticonus 15 to 30- Progressive renal insufficiency- Recurrent corneal erosionsSensorineural deafness is primarily in the high tone range and can frequently be detected only by an audiogram.It is thus unlikely to be a presenting symptom. It is usually non progressiveProteinuria by itself is again unlikely to be a presenting symptom.Olizuria would develop with progressively increasing renal insufficiency 