Step 1: Understanding the Concept:
Metabolic Syndrome (Syndrome X) is a clustering of interrelated cardio-metabolic risk factors driven by central insulin resistance.
Step 2: Detailed Explanation:
Diagnostic criteria for Metabolic Syndrome (WHO NCEP-ATP III IDF criteria) require the presence of three or more of the following:
1. Abdominal Obesity (D): Increased waist circumference ($> 90\text{ cm}$ in men, $> 80\text{ cm}$ in women).
2. Hyperglycemia (A): Elevated fasting blood glucose ($\ge 100\text{ mg/dL}$) or Type 2 diabetes.
3. Hypertension (B): Blood pressure $\ge 130/85\text{ mmHg}$.
4. Dyslipidemia: Elevated triglycerides and low HDL cholesterol.
(Fever and acute renal failure are acute systemic conditions, not diagnostic criteria).
Thus, symptoms A, B, and D only are characteristic.
Step 3: Final Answer:
Hence, the correct answer is A, B, D only, corresponding to option (C).