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Nephrotic syndrome

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Charlotte A.; Eddy, Kaitlyn; Kitzler, Thomas M.; Shril, Shirlee; Moawia, Abubakar; Schrage, Kathrin; Khayyat, Arwa Ishaq A.; Lawson, Jennifer A.; Gee, Heon Yung; Warejko, Jillian K.; Hermle, Tobias; Majmundar, Amar J.; Hugo, Hannah; Budde, Birgit; Motameny, Susanne; Altmüller, Janine; Noegel, Angelika Anna; Fathy, Hanan M.; Gale, Daniel P.; Waseem, Syeda Seema; Khan, Ayaz; Kerecuk, Larissa; Hashmi, Seema; Mohebbi, Nilufar; Ettenger, Robert; Serdaroğlu, Erkin; Alhasan, Khalid A.; Hashem, Mais; Goncalves, Sara; Ariceta, Gema; Ubetagoyena, Mercedes; Antonin, Wolfram; Baig, Shahid Mahmood; Alkuraya, Fowzan S.; Shen, Qian; Xu, Hong; Antignac, Corinne; Lifton, Richard P.; Mane, Shrikant; Nürnberg, Peter; Khokha, Mustafa K.; Hildebrandt, Friedhelm (4 September 2018).
1770:. In order to facilitate this, the consumption of salt must also be controlled, as this contributes to water retention. It is advisable to restrict the ingestion of sodium to 1 or 2 g/day, which means that salt cannot be used in cooking and salty foods should also be avoided. Foods high in sodium include seasoning blends (garlic salt, Adobo, season salt, etc.) canned soups, canned vegetables containing salt, luncheon meats including turkey, ham, bologna, and salami, prepared foods, fast foods, soy sauce, ketchup, and salad dressings. On food labels, compare milligrams of sodium to calories per serving. Sodium should be less than or equal to calories per serving. 1193: 2121:(66% of cases), followed by focal segmental glomerulosclerosis (8%) and mesangiocapillary glomerulonephritis (6%). In adults the most common disease is mesangiocapillary glomerulonephritis (30-40%), followed by focal and segmental glomeruloesclerosis (15-25%) and minimal change disease (20%). The latter usually presents as secondary and not primary as occurs in children. Its main cause is diabetic nephropathy. It usually presents in a person from their 40s or 50s. Of the glomerulonephritis cases, approximately 60% to 80% are primary, while the remainder are secondary. 2026:): only indicated in recurring nephrotic syndrome in corticosteroid dependent or intolerant people. In the first two cases, the proteinuria has to be negated before treatment with the immunosuppressor can begin, which involves a prolonged treatment with prednisone. The negation of the proteinuria indicates the exact moment when treatment with cyclophosphamide can begin. The treatment is continued for 8 weeks at a dose of 3 mg/kg/day, the immunosuppression is halted after this period. In order to be able to start this treatment the person should not have 838: 39: 1100:
structure. The podocytes are now less able to restrict urinary protein loss. Despite not knowing the specific indentity of the circulating factor, scientists are learning more about it. It is thought to be either T cell or B cell derived, hence why staroid treatment can be effective for some patients. There is also evidence that the circulating factor could be signalling via the PAR-1 receptro on the podocytes.
727: 266: 1178: 1109: 569:. Thrombosis usually occurs in the kidney veins although it can also occur in arteries. Treatment is with oral anticoagulants (not heparin as heparin acts via anti-thrombin 3 which is lost in the proteinuria so it will be ineffective.) Hypercoagulopathy due to extravasation of fluid from the blood vessels (edema) is also a risk for venous thrombosis. 1867:. Avoid saturated fats such as butter, cheese, fried foods, fatty cuts of red meat, egg yolks, and poultry skin. Increase unsaturated fat intake, including olive oil, canola oil, peanut butter, avocadoes, fish and nuts. In cases of severe hyperlipidaemia that are unresponsive to nutrition therapy the use of 2014:
The susceptibility testing in vitro to glucocorticoids on the person's peripheral blood mononuclear cells is associated with the number of new cases of not optimal clinical responses: the most sensitive people in vitro have shown a higher number of cases of corticodependence, while the most resistant
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data also reveals information regarding the most common way that symptoms develop in people with nephrotic syndrome: spontaneous remission occurs in up to 20% or 30% of cases during the first year of the illness. However, this improvement is not definitive as some 50% to 60% of people with Nephrotic
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and thus retention of sodium and water (underfill hypothesis). Additionally, it is thought that urinary proteases (excreted as a result of significant proteinuria) cause a direct effect by activating the epithelial sodium channel (ENaC) on the principal cell that leads to the reabsorption of sodium
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People with Corticosteroid sensitive or early steroid-responder: the subject responds to the corticosteroids in the first 8 weeks of treatment. This is demonstrated by a strong diuresis and the disappearance of edemas, and also by a negative test for proteinuria in three urine samples taken during
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of protein/kg body weight/ day, as a greater amount could increase the degree of proteinuria and cause a negative nitrogen balance. People are usually recommended lean cuts of meat, fish, and poultry. The second guideline requires that the amount of water ingested is not greater than the level of
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There is no known genetic cause for idiopathic nephrotic syndrome. This is thought to be caused by a hitherto unknown circulating permeability factor that travels in the circulation to the podocyte within the glomerulus of the kidney. This circulating factor damages the podocyte which changes its
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tests are required in order to arrive at an accurate diagnosis that verifies the presence of the illness. In addition, imaging of the kidneys (for structure and presence of two kidneys) is sometimes carried out, and/or a biopsy of the kidneys. The first test will be a urinalysis to test for high
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Haemoglobin and haematocrit levels are analysed again: if the haematocrit value is less than the initial value (a sign of correct expansion) the diuretics are administered for at least 30 minutes. If the haematocrit level is greater than the initial one this is a contraindication for the use of
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is usually prescribed at a dose of 60 mg/m of body surface area/day in a first treatment for 4–8 weeks. After this period the dose is reduced to 40 mg/m for a further 4 weeks. People experiencing a relapse or children are treated with prednisolone 2 mg/kg/day until urine becomes
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can be used in the absence of a 24-hour urine test for total protein. This coefficient will be greater than 200–400 mg/mmol in nephrotic syndrome. This pronounced loss of proteins is due to an increase in glomerular permeability that allows proteins to pass into the urine instead of being
575:: The increased susceptibility of people with nephrotic syndrome to infections can be a result of the leakage of immunoglobulins from the blood, the loss of proteins in general, and the presence of oedematous fluid (which acts as a breeding ground for infections). The most common infection is 256:
Treatment is directed at the underlying cause. Other efforts include managing high blood pressure, high blood cholesterol, and infection risk. A low-salt diet and limiting fluids are often recommended. About 5 per 100,000 people are affected per year. The usual underlying cause varies between
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Braun, Daniela A.; Lovric, Svjetlana; Schapiro, David; Schneider, Ronen; Marquez, Jonathan; Asif, Maria; Hussain, Muhammad Sajid; Daga, Ankana; Widmeier, Eugen; Rao, Jia; Ashraf, Shazia; Tan, Weizhen; Lusk, C. Patrick; Kolb, Amy; Jobst-Schwan, Tilman; Schmidt, Johanna Magdalena; Hoogstraten,
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in tissues as a consequence of the decrease in the strength of ventricular contractions. The liquid is initially concentrated in the ankles but it subsequently becomes generalized and is called anasarca. People with congestive heart failure also experience an abnormal swelling of the heart
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with the correct energy intake and balance of proteins that will be used in synthesis processes and not as a source of calories. A total of 35 kcal/kg body weight/day is normally recommended. This diet should also comply with two more requirements: the first is to not consume more than 1
1665:, encephalopathy, bruising, nodular liver and anomalies in the liver function tests. Less frequently symptoms associated with the administration of certain pharmaceutical drugs have to be discounted. These drugs promote the retention of liquid in the extremities such as occurs with 938:: kidney impairment is caused by the accumulation and precipitation of light chains, which form casts in the distal tubules, resulting in kidney obstruction. In addition, myeloma light chains are also directly toxic on proximal kidney tubules, further adding to kidney dysfunction. 2904:
Bierzynska, Agnieszka; McCarthy, Hugh J.; Soderquest, Katrina; Sen, Ethan S.; Colby, Elizabeth; Ding, Wen Y.; Nabhan, Marwa M.; Kerecuk, Larissa; Hegde, Shivram; Hughes, David; Marks, Stephen; Feather, Sally; Jones, Caroline; Webb, Nicholas J.A.; Ognjanovic, Milos (April 2017).
1863:: depending on the seriousness of the condition it can be treated with medical nutrition therapy as the only treatment or combined with drug therapy. The ingestion of cholesterol should be less than 300 mg/day, which will require a switch to foods that are low in 3124:
May, Carl J.; Chesor, Musleeha; Hunter, Sarah E.; Hayes, Bryony; Barr, Rachel; Roberts, Tim; Barrington, Fern A.; Farmer, Louise; Ni, Lan; Jackson, Maisie; Snethen, Heidi; Tavakolidakhrabadi, Nadia; Goldstone, Max; Gilbert, Rodney; Beesley, Matt (March 2023).
616:: the loss of vascular fluid into the tissues (edema) produces a decreased blood supply to the kidneys that cause a loss of kidney function. Thus it is a tricky task to get rid of excess fluid in the body while maintaining circulatory euvolemia. 4133: 4118: 1977:
People with Corticosteroid resistance or late steroid-responder: the proteinuria persists after the 8-week treatment. The lack of response is indicative of the seriousness of the glomerular damage, which could develop into chronic kidney
1645:, which aids in making a correct diagnosis. Jugular venous pressure can also be elevated and it might be possible to hear heart murmurs. An echocardiogram is the preferred investigation method for these symptoms. Liver failure caused by 1924:
In addition to these key imbalances, vitamin D and calcium are also taken orally in case the alteration of vitamin D causes severe hypocalcaemia, this treatment has the goal of restoring physiological levels of calcium in the person.
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in some circumstances, such as in asymptomatic people that have no history of having thromboembolism. When the thrombophilia is such that it leads to the formation of blood clots, heparin is given for at least 5 days along with oral
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may then allow the identification of the type of glomerulonephritis involved. However, this procedure is usually reserved for adults as the majority of children experience minimal change disease that has a remission rate of 95% with
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of greater than 3.5 g /24 h /1.73 m (between 3 and 3.5 g/24 h /1.73 m is considered to be proteinuria in the nephrotic range) or greater than 40 mg/h/m in children. The ratio between urinary concentrations of albumin and
1812:. This occurs where the risk from plasmatic expansion is considered greater than the risk of severe hypovolemia, which can be caused by the strong diuretic action of intravenous treatment. The procedure is the following: 2051:
The prognosis for nephrotic syndrome under treatment is generally good although this depends on the underlying cause, the age of the person and their response to treatment. It is usually good in children, because
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Some symptoms that are present in nephrotic syndrome, such as edema and proteinuria, also appear in other illnesses. Therefore, other pathologies need to be excluded in order to arrive at a definitive diagnosis.
982:): gold salts can cause a more or less important loss of proteins in urine as a consequence of metal accumulation. Penicillin is nephrotoxic in people with kidney failure and captopril can aggravate proteinuria. 668:
is stored in the body). As vitamin D regulates the amount of calcium present in the blood, a decrease in its concentration will lead to a decrease in blood calcium levels. It may be significant enough to cause
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in the body due to serum hypoalbuminemia. Lower serum oncotic pressure causes fluid to accumulate in the interstitial tissues. Sodium and water retention aggravates the edema. This may take several forms:
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levels of proteins, as a healthy subject excretes an insignificant amount of protein in their urine. The test will involve a 24-hour bedside urinary total protein estimation. The urine sample is tested for
1649:, hepatitis and other conditions such as alcoholism, IV drug use or some hereditary diseases can lead to swelling in the lower extremities and the abdominal cavity. Other accompanying symptoms include 1699:
Proteinuria: the loss of proteins from the urine is caused by many pathological agents and infection by these agents has to be ruled out before it can be certain that a person has nephrotic syndrome.
801:(MGN): The inflammation of the glomerular membrane causes increased leaking in the kidney. It is not clear why this condition develops in most people, although an auto-immune mechanism is suspected. 507:
and water (overfill hypothesis). Nephrotic syndrome edema initially appears in parts of the lower body (such as the legs) and in the eyelids. In the advanced stages it also extends to the
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Cuzzoni, E; De Iudicibus, S; Stocco, G; Favretto, D (2016). "In Vitro sensitivity to methyl-prednisolone is associated with clinical response in pediatric idiopathic nephrotic syndrome".
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in nephrotic syndrome is typically caused by two mechanisms. First, hypoproteinemia stimulates protein synthesis in the liver, resulting in the overproduction of low and very-low-density
916:: this autoimmune disease causes the deposit of immunocomplexes in the glomeruli, causing them to become inflamed, this is the same mechanism as occurs in systemic lupus erythematosus. 2076:. In addition children under the age of 5 generally have a poorer prognosis than prepubescents, as do adults older than 30 years of age as they have a greater risk of kidney failure. 2132:
syndrome die and/or develop chronic kidney failure 6 to 14 years after this remission. On the other hand, between 10% and 20% of people have continuous episodes of remissions and
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The objective of this treatment is to treat the imbalances brought about by the illness: edema, hypoalbuminemia, hyperlipidaemia, hypercoagulability and infectious complications.
860:. Excess blood sugar accumulates in the kidney causing them to become inflamed and unable to carry out their normal function. This leads to the leakage of proteins into the urine. 277:. The degree to which this occurs can vary between slight edema in the eyelids that decreases during the day, to affecting the lower limbs, to generalized swelling, to full blown 2008:
People with Corticosteroid dependent: proteinuria appears when the dose of corticosteroid is decreased or there is a relapse in the first two weeks after treatment is completed.
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can cause a proteinuria that is not accompanied by hypoalbuminemia, which is an important aid in making a differential diagnosis; other potential causes of proteinuria include
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Secondary causes of nephrotic syndrome have the same histologic patterns as the primary causes, though they may exhibit some differences suggesting a secondary cause, such as
2321: 1747:: a return to an unswollen state is the prime objective of this treatment of nephrotic syndrome. It is carried out through the combination of a number of recommendations: 821:
shape. It is characterized clinically by a rapid decrease in the glomerular filtration rate (GFR) by at least 50% over a short period, usually from a few days to 3 months.
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can cause edema in someone with kidney failure. These people are known to have kidney failure, and have either drunk too much or missed their dialysis. In addition, when
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without dying or jeopardizing their kidney. The main causes of death are cardiovascular, as a result of the chronicity of the syndrome, and thromboembolic accidents.
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spreads to the lungs or abdomen it causes effusions and fluid accumulation due to obstruction of lymphatic vessels and veins, as well as serous exudation.
708:: This can occur in cases of relapse or resistance to therapy. Causes of growth retardation are protein deficiency from the loss of protein in urine, 4547: 4236: 1857:: is treated using the medical nutrition therapy described as a treatment for edema. It includes a moderate intake of foods rich in animal proteins. 1608: 804: 622:: the loss of proteins from blood plasma and the consequent fall in oncotic pressure causes an abnormal accumulation of liquid in the lungs causing 3067:
May, Carl J.; Welsh, Gavin I.; Chesor, Musleeha; Lait, Phillipa J.; Schewitz-Bowers, Lauren P.; Lee, Richard W. J.; Saleem, Moin A. (2019-10-01).
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formation is a result of the breakdown of muscular tissue, it is transported in the blood and eliminated in urine. Measuring the concentration of
3743: 3127:"Podocyte protease activated receptor 1 stimulation in mice produces focal segmental glomerulosclerosis mirroring human disease signaling events" 3356: 2378: 3624: 814: 565:
disorders: particularly those caused by a decrease in blood antithrombin III levels due to leakage. Antithrombin III counteracts the action of
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Histological image of a normal kidney glomerulus. It is possible to see a glomerulus in the centre of the image surrounded by kidney tubules.
2065: 1666: 1120:. It is formed of capillaries with small pores that allow small molecules to pass through that have a molecular weight of less than 40,000 673:. Hypocalcaemia may be relative; calcium levels should be adjusted based on the albumin level and ionized calcium levels should be checked. 734:
Nephrotic syndrome has many causes and may either be the result of a glomerular disease that can be either limited to the kidney, called
4015: 3486: 2907:"Genomic and clinical profiling of a national nephrotic syndrome cohort advocates a precision medicine approach to disease management" 2305: 2276: 2080: 1586: 1032: 780: 210: 95: 3540: 539:, or hypercoagulability, is a greater predisposition for the formation of blood clots that are caused by a decrease in the levels of 478:
retained in the blood. Under normal conditions a 24-hour urine sample should not exceed 80 milligrams or 10 milligrams per decilitre.
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There are also differences in epidemiology between the sexes, the disease is more common in men than in women by a ratio of 2 to 1.
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The treatment of kidney damage may reverse or delay the progression of the disease. Kidney damage is treated by prescribing drugs:
289:(>3.5 g per 1.73 m body surface area per day, or > 40 mg per square meter body surface area per hour in children), 4552: 3647:
Plasma expanders are natural or synthetic substances (dextran, albumin...), that are able to retain liquid in the vascular space.
3069:"Human Th17 cells produce a soluble mediator that increases podocyte motility via signaling pathways that mimic PAR-1 activation" 2431:
Parra Herrán, Carlos Eduardo; Castillo Londoño, Juan Sebastián; López Panqueva, Rocío del Pilar; Andrade Pérez, Rafael Enrique.
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Nephrotic syndrome can be associated with a series of complications that can affect an individual's health and quality of life:
525:. There is also an increase in the liver synthesis of cholesterol. Second, lipid catabolism is decreased due to lower levels of 4287: 4476: 4056: 3852: 3726: 3523: 3448: 2651: 2605:[Spontaneous bacterial peritonitis as form of presentation of idiophatic nephrotic syndrome in an adult black race]. 2415: 393: 3514:
Curtis, Michael J.; Page, Clive P.; Walker, Michael J.A; Hoffman, Brian B. (1998). "Fisiopatología y enfermedades renales".
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Nephrotic syndrome can affect any age, although it is mainly found in adults with a ratio of adults to children of 26 to 1.
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Rest: depending on the seriousness of the edema and taking into account the risk of thrombosis caused by prolonged bed rest.
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are the drug of choice. Independent of their blood pressure-lowering effect, they have been shown to decrease protein loss.
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As a response to hypoproteinemia the liver commences a compensatory mechanism involving the synthesis of proteins, such as
698:: this occurs when the amount of protein that is lost in the urine is greater than that ingested, this leads to a negative 4292: 2744: 2603:"Peritonitis bacteriana espontánea como forma de presentación de síndrome nefrótico idiopático en un adulto de raza negra" 1315: 1221: 957: 798: 549:
or loss of lipids in the urine is indicative of glomerular pathology due to an increase in the filtration of lipoproteins.
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can develop where there is ascites present. This is a frequent development in children but very rarely found in adults.
4263: 3318: 2579: 922:: the virus's antigens provoke an obstruction in the glomerular capillary's lumen that alters normal kidney function. 3827: 4352: 3196: 2096: 1637: 3688: 1732:
The treatment of nephrotic syndrome can be symptomatic or can directly address the injuries caused to the kidney.
783:(FSGS): is the most common cause of nephrotic syndrome in adults. It is characterized by the appearance of tissue 4387: 1753: 1628:
Edema: in addition to nephrotic syndrome there are two other disorders that often present with edema; these are
4537: 4488: 4382: 4148: 1303: 944:: inflammation of the blood vessels at a glomerular level impedes the normal blood flow and damages the kidney. 589: 995: 913: 4392: 4222: 2768: 1319: 1268: 1259:(EUC test) in order to evaluate kidney function. A lipid profile will also be carried out as high levels of 1154:, which prevents the leakage of fluid into the extracellular medium and the subsequent formation of edemas. 950:: as happens in myeloma, the invasion of the glomeruli by cancerous cells disturbs their normal functioning. 76: 2117:
The syndrome presents in different ways in the two groups: the most frequent glomerulopathy in children is
1910:(between 2 and 3), it may be possible to suspend the LMWH while maintaining the OACs for at least 6 months. 4428: 4342: 4334: 4299: 4282: 3416: 2682:
It occurs during renal pathologies, during fasting, in eating disorders or during heavy physical exercise.
2118: 2084: 2061: 2053: 1957:: the result is a decrease in proteinuria and the risk of infection as well as a resolution of the edema. 1832:
A solution of 25% albumin is used that is administered for only 4 hours in order to avoid pulmonary edema.
1597: 1575: 826: 762: 595: 218: 214: 134: 103: 99: 3767: 765:(MCD): is the most common cause of nephrotic syndrome in children. It owes its name to the fact that the 4451: 4372: 2883: 2031: 1670: 1299: 1196: 1158: 900:: kidney damage can occur during the secondary stage of this disease (between 2 and 8 weeks from onset). 837: 2835: 1064: 715: 38: 3272: 2452: 886:: This disease does not usually affect the kidney but, on occasions, the accumulation of inflammatory 4456: 4322: 2931: 2039: 1279: 1264: 1199:
with nephrotic syndrome. There is a hyperechoic kidney without demarcation of the cortex and medulla.
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tests are carried out during the treatment in order to give advance warning of a possible infection.
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A kidney biopsy may also be used as a more specific and invasive test method. A study of a sample's
198:. Other symptoms may include weight gain, feeling tired, and foamy urine. Complications may include 4542: 4423: 4137: 3705:
Organizations in the US recommend that no more than 30% of total daily calorie intake is from fats.
1868: 1809: 1716: 774: 580: 456: 234: 203: 85: 3293: 459:; white lines (leukonychia) that extend all the way across the nail and lie parallel to the lunula 4514: 4471: 3973: 3174: 2952: 2858:
Fogo AB, Bruijn JA. Cohen AH, Colvin RB, Jennette JC. Fundamentals of Renal Pathology. Springer.
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García - Conde, J.; Merino Sánchez, J.; González Macías, J. (1995). "Fisiopatología glomerular".
1986: 867: 770: 739: 709: 705: 526: 420: 246: 139: 63: 46:
Microscopic image of diabetic glomerulosclerosis, the main cause of nephrotic syndrome in adults.
20: 2499: 305:(lipids in urine) can also occur, but is not essential for the diagnosis of nephrotic syndrome. 1135:(the formation of a homogenous crystalline material within cells) that allows proteins such as 4317: 4188: 4159: 4052: 3965: 3908: 3789: 3722: 3519: 3444: 3396: 3371: 3251: 3166: 3148: 3106: 3088: 3049: 3041: 3002: 2944: 2936: 2859: 2647: 2624: 2555: 2411: 2351: 2301: 2272: 2266: 2240: 2234: 2210: 2204: 2073: 1907: 1712: 1244: 1006: 623: 530: 489: 351: 118: 51: 4364: 4312: 4307: 3955: 3947: 3898: 3890: 3779: 3490: 3330: 3241: 3231: 3156: 3138: 3096: 3080: 3033: 2992: 2984: 2926: 2918: 2614: 2545: 2537: 2023: 1963: 1903: 1805: 1757: 1700: 1685: 1662: 1151: 961: 953: 935: 846: 540: 499: 498:
is thought to be caused by two mechanisms. The first being hypoalbuminemia which lowers the
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negative for protein. Then, 1.5 mg/kg/day for 4 weeks. Frequent relapses treated by:
1953: 1307: 1225: 876: 619: 518: 481: 404: 294: 290: 250: 187: 4019: 3995: 932:(proteins with anomalous structures) in the glomeruli modifying their shape and function. 817:(RPGN): (Usually presents as a nephrotic syndrome) A person's glomeruli are present in a 2789: 4504: 4377: 4347: 4253: 4245: 3903: 3878: 3246: 3219: 3161: 3126: 3101: 2997: 2973:"Mutations in multiple components of the nuclear pore complex cause nephrotic syndrome" 2972: 2694: 2432: 2092: 1936: 1932: 1781: 1284: 1233: 1204: 1166: 1144: 871: 633: 609: 508: 446: 340: 191: 3487:"Relación de la proteinuria con el nivel de hemoglobina glicosilada en los diabéticos" 3317:
Voguel S, Andrea; Azócar P, Marta; Nazal Ch, Vilma; Salas del C, Paulina (June 2006).
2550: 2525: 4531: 4483: 4418: 4016:"Síndrome nefrótico idiopático: diagnóstico histológico por biopsia renal percutanea" 3178: 1917: 1899: 1864: 1767: 1674: 1654: 1633: 1629: 1294:
Further investigations are indicated if the cause is not clear including analysis of
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test will evaluate kidney function particularly the glomerular filtration capacity.
380:(iron resistant microcytic hypochromic type) may be present due to transferrin loss. 4509: 4499: 4461: 4199: 3894: 2956: 2815:"Frecuencia de las glomerulonefritis y causas de las glomerulonefritis secundarias" 2526:"Qualitative and Quantitative Analysis of Urinary Lipids in the Nephrotic Syndrome" 2474: 2128: 2064:. Any relapses that occur become less frequent over time; the opposite occurs with 1982: 1894: 1846: 1788:). In severe cases of edema (or in cases with physiological repercussions, such as 1773: 1688: 1642: 1311: 1248: 1140: 1128: 695: 522: 371: 315: 147: 3856: 791:
is used as some of the glomeruli have scars, while others appear intact; the term
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Ruiz, S.; Soto, S.; Rodado, R.; Alcaraz, F.; López Guillén, E. (September 2007).
2068:, in which the kidney fails within three years of the disease developing, making 4495: 4274: 4183: 3084: 3022:"Role of the immune system in the pathogenesis of idiopathic nephrotic syndrome" 2906: 2088: 2027: 1826: 1822: 1720: 1295: 1260: 1213: 1208: 1162: 1080: 1011: 925: 903: 891: 883: 677: 661: 613: 584: 576: 469: 408: 286: 230: 199: 183: 81: 4202: 3236: 3143: 2922: 4164: 1967: 1958: 1785: 1692: 1256: 1240: 1185: 1181: 1019: 975: 941: 742:), or a condition that affects the kidney and other parts of the body, called 562: 512: 474: 435: 412: 323: 238: 123: 56: 4051:(Cuarta ed.). Corporación para investigaciones biológicas. p. 340. 3218:
Hansen, Kristoffer; Nielsen, Michael; Ewertsen, Caroline (23 December 2015).
3152: 3092: 3045: 2940: 2719: 2087:. Factors associated with a poorer prognosis in these cases include level of 4413: 4408: 4194: 4127: 4087:- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), 4078:- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), 3581: 1880: 1842: 1708: 1646: 1184:
will be able to detect high levels of proteins and occasionally microscopic
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can affect a number of organs, among them the kidney, due to the deposit of
755: 726: 665: 572: 546: 302: 265: 143: 3969: 3912: 3793: 3784: 3255: 3170: 3110: 3053: 3006: 2948: 2628: 829:", i.e. they are diagnosed only after secondary causes have been excluded. 445:
Examination should also exclude other causes of gross edema—especially the
3768:"Prophylactic anticoagulation in nephrotic syndrome: a clinical conundrum" 3719:
Compendio de atención primaria: Conceptos, organización y práctica clínica
2559: 3960: 3831: 3395:(Seventh ed.). Lippincott Williams & Wilkins. pp. 3 and 4. 2297: 2102:
Without treatment nephrotic syndrome has a very bad prognosis especially
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in both liquids evaluates the capacity of the glomeruli to filter blood.
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within vessels resulting in hypovolemia and subsequent activation of the
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people in vitro showed a higher number of cases of ineffective therapy.
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A broad classification of nephrotic syndrome based on underlying cause:
691:(compound used to store iron in the body). It is iron-therapy resistant. 529:, the main enzyme involved in lipoprotein breakdown. Cofactors, such as 3717:
Martín Zurro, Armando (2005). "Hipolipemiante, diuréticos, estatina.".
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Achieving better blood glucose level control if the person is diabetic.
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edema) or in people with one of a number of severe infections (such as
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present during hepatitis can accumulate in the kidneys and damage them.
907: 807:(MPGN): is the inflammation of the glomeruli along with the deposit of 766: 680: 645: 383: 377: 355: 4110: 2670: 2541: 2268:
The Netter Collection of Medical Illustrations - Urinary System e-Book
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in the liver is insufficient to increase the low blood protein levels.
4433: 4122: 2988: 1872: 1801: 1220:, which are more a feature of active nephritis. Next a blood screen, 1150:
Albumin is the main protein in the blood that is able to maintain an
1117: 947: 670: 641: 396:
is increased due to increased fibrinogen & other plasma contents.
274: 179: 3951: 1108: 754:
Primary causes of nephrotic syndrome are usually described by their
3927:
death of the bone caused by insufficient blood supply to the bone.
2322:"Electronic Learning Module for Kidney and Urinary Tract Diseases" 1970:. People can respond to prednisone in a number of different ways: 1845:
or require a change in dietary habits if the diuretic drug causes
1191: 1176: 1091:
Over 50 mutations are known to be associated with this condition.
725: 495: 450: 400: 329: 298: 270: 264: 226: 195: 111: 68: 4214: 2769:"Patient information: The nephrotic syndrome (Beyond the Basics)" 2030:
nor anaemia, which would cause further complications. A possible
1985:
appear, and they gain a lot of weight and can develop aseptic or
2233:
Kher, Kanwal; Schnaper, H. William; Greenbaum, Larry A. (2016).
2175:
National Institute of Diabetes and Digestive and Kidney Diseases
1994: 1762: 1252: 971: 841:
Diabetic glomerulonephritis in a person with nephrotic syndrome.
784: 684: 427: 370:
Most of the people with nephrotic syndrome are normotensive but
347:. More commonly associated with excess fluid is pulmonary edema. 4218: 968:, a component of the glomerular filtration barrier, is altered. 849:. They are usually described by the underlying cause, such as: 795:
refers to the fact that only part of the glomerulus is damaged.
4088: 4079: 2745:"Descripción histológica de las glomerulonefritis ideopáticas" 2292:
Behrman, Richard E.; Robert M Kliegman; Hal B. Jenson (2008).
1990: 1291:
as the majority have focal and segmental glomeruloesclerosis.
919: 333: 1981:
People with Corticosteroid intolerant: complications such as
1216:(>3.5 g per 1.73 m per 24 hours). It is also examined for 874:
that are typical to this disease. The disease can also cause
1116:
The kidney glomerulus filters the blood that arrives at the
233:. The underlying mechanism typically involves damage to the 3879:"Corticosteroid therapy for nephrotic syndrome in children" 3464:
Rivera, F; Egea, J.J; Jiménez del Cerro, L.A; Olivares, J.
1719:
levels and the appearance of proteinuria. Other causes are
1287:. A biopsy is usually only indicated for children that are 712:(reduced protein intake), and steroid therapy (catabolism). 640:
transport protein thyroxin (a glycoprotein that is rich in
515:(ascites) and can even develop into a generalized anasarca. 309:
A few other characteristics seen in nephrotic syndrome are:
3689:"Sustitución de los alimentos ricos en grasas de la dieta" 2106:, which leads to acute kidney failure after a few months. 269:
Nephrotic syndrome is usually accompanied by retention of
2350:(6th ed.). New York, NY : McGraw-Hill. p. 659. 1016:
Drugs (such as corticosteroids, gold, intravenous heroin)
2433:"Síndrome nefrótico y proteinuria en rango no nefrótico" 1127:
In nephrotic syndrome, the glomeruli are affected by an
285:
Nephrotic syndrome is characterized by large amounts of
1420:
Nephrotic syndrome is often classified histologically:
1147:
to pass through the cell membrane and appear in urine.
533:, may also be lost by increased filtration of proteins. 426:
May have features of the underlying cause, such as the
2408:
Patología General. Semiología Clínica y Fisiopatología
1657:), scratch marks (due to widespread itching, known as 3020:
van den Berg, José G.; Weening, Jan J. (2004-07-27).
2582:[Acute complications of nephrotic syndrome]. 1920:
drugs can be taken according to the infectious agent.
1776:: The pharmacological treatment of edema is based on 811:
in their membranes, which makes filtration difficult.
4100: 3925:
According to MedlinePlus, avascular necrosis is the
4444: 4401: 4363: 4333: 4273: 4252: 4174: 4104: 3220:"Ultrasonography of the Kidney: A Pictorial Review" 2665: 2663: 2453:"Valores normales de proteína en orina de 24 horas" 1723:
and certain other allergic and infectious diseases.
209:Causes include a number of kidney diseases such as 161: 153: 133: 117: 91: 75: 62: 50: 31: 3721:(Segunda ed.). Elsevier España. p. 794. 3439:Goldman, Lee; Braunwald, Eugene (2000). "Edemas". 3357:"Diagnóstico diferencial en el síndrome nefrótico" 2206:Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1 1124:, but not larger macromolecules such as proteins. 894:) in the glomeruli can lead to nephrotic syndrome. 587:. The most notable of the causative organisms are 579:, followed by lung, skin, and urinary infections, 2836:"Fármacos que pueden producir síndrome nefrótico" 2646:(Cuarta ed.). Elsevier España. p. 283. 2372:"Manifestaciones clínicas del síndrome nefrótico" 1025:Bacterial infections, e.g. leprosy & syphilis 648:gland) due to decreased thyroid-binding globulin. 390:or due to diaphragmatic compression with ascites. 3376:: CS1 maint: bot: original URL status unknown ( 3073:American Journal of Physiology. Renal Physiology 2809: 2807: 2805: 1255:levels may also be analysed at the same time as 1232:levels of ≤2.5 g/dL (normal=3.5-5 g/dL). Then a 419:are uncommon, though these are seen commonly in 4047:Borrego R., Jaime; Montero C., Orlando (2003). 3877:Hahn D, Hodson EM, Willis NS, Craig JC (2015). 3572: 3570: 3568: 3509: 3507: 3391:Harold Friedman, H (2001). "General problems". 2671:"Balance de nitrógeno y equilibrio nitrogenado" 2346:Freedberg, Irwin M.; et al., eds. (2003). 361:Generalized edema throughout the body known as 237:of the kidney. Diagnosis is typically based on 3434: 3432: 2874: 2872: 2580:"Complicaciones agudas del síndrome nefrótico" 2265:Kelly, Christopher R.; Landman, Jaime (2012). 4230: 3744:"Profilaxis de los fenómenos tromboembólicos" 2348:Fitzpatrick's dermatology in general medicine 1715:there is an association between increases in 777:. Another symptom is pronounced proteinuria. 654:can occur. Vitamin D binding protein is lost. 8: 3319:"Indicaciones de la biospsia renal en niños" 2236:Clinical Pediatric Nephrology, Third Edition 1836:diuretics as they would increase said value. 2763: 2761: 4237: 4223: 4215: 4101: 3359:. Archived from the original on 2009-03-06 3312: 3310: 1165:. An increase in the latter can cause the 37: 28: 3959: 3902: 3783: 3334: 3267: 3265: 3245: 3235: 3160: 3142: 3100: 2996: 2932:1983/c730c0d6-5527-435a-8c27-a99fd990a0e8 2930: 2618: 2573: 2571: 2569: 2549: 2271:. Elsevier Health Sciences. p. 101. 2260: 2258: 2256: 2209:. Elsevier Health Sciences. p. 889. 2198: 2196: 2194: 2192: 2165: 2163: 2161: 2159: 2157: 2155: 2153: 2151: 2149: 1076:Membranoproliferative Glomerulonephritis 773:as the lesions are only visible using an 464:The main signs of nephrotic syndrome are: 221:. It may also occur as a complication of 71:, weight gain, feeling tired, foamy urine 3989: 3987: 2790:"Rapidly progressive glomerulonephritis" 2228: 2226: 1107: 856:: is a complication that occurs in some 836: 805:Membranoproliferative glomerulonephritis 484:of less than 2.5 g/dL, that exceeds the 3883:Cochrane Database of Systematic Reviews 3828:"Tratamiento de la hipercoagulabilidad" 3808:"Rango Internacional Normalizado (INR)" 3660:"Lista de alimentos ricos en proteínas" 3466:"La proteinuria en el mieloma múltiple" 3417:"El edema en la insuficiencia cardíaca" 3294:"El diagnóstico del síndrome nefrótico" 3193:"Apuntes de fisiopatología de sistemas" 2854: 2852: 2642:Zollo, Anthony J (2005). "Nefrología". 2524:Klahr S, Tripathy K, Bolanos O (1967). 2401: 2399: 2145: 1893:(LMWH) may be appropriate for use as a 1275:, is indicative of nephrotic syndrome. 1060:Drugs, especially NSAIDs in the elderly 399:Some people may notice foamy or frothy 4042: 4040: 4038: 4036: 3369: 2104:rapidly progressing glomerulonephritis 1966:or nitrogen mustard or cyclosporin or 1871:drugs may be necessary (these include 1271:, usually with concomitantly elevated 815:Rapidly progressive glomerulonephritis 543:in the blood due to its loss in urine. 3676:Expressed as grams per 100 g of food. 3578:"Dietoterapia del síndrome nefrótico" 1841:It may be necessary to give a person 1808:), the diuretics can be administered 1636:. Congestive heart failure can cause 1607: 1605: 1603: 1601: 1596: 1594: 1592: 1590: 1585: 1583: 1581: 1579: 1574: 1572: 1570: 1568: 1518: 1472: 1470: 1468: 1466: 1460: 1458: 1456: 1454: 1452: 1449: 1447: 1445: 1443: 1441: 1439: 1437: 1435: 1433: 1431: 1429: 1427: 1425: 1411: 1409: 1407: 1405: 1402: 1380: 1358: 1352: 1350: 1348: 1346: 1341: 1339: 1337: 1335: 16:Symptoms resulting from kidney damage 7: 4467:Abderhalden–Kaufmann–Lignac syndrome 3625:"Fluidoterapia: tipos de expansores" 2724:The Lecturio Medical Concept Library 2699:The Lecturio Medical Concept Library 2066:mesangiocapillary glomerulonephritis 411:. Actual urinary complaints such as 326:, characteristically in the morning. 4049:Nefrología: Fundamentos de medicina 3604:"Lista de alimentos ricos en sodio" 2475:"What to know about hyperlipidemia" 2473:Davis, K; Kohli, P (15 July 2019). 1902:(OAC). During this time and if the 3393:Problem-oriented Medical Diagnosis 2081:focal segmental glomerulosclerosis 1033:Focal segmental glomerulosclerosis 1028:Protozoal infections, e.g. malaria 781:Focal segmental glomerulosclerosis 769:appear normal when viewed with an 211:focal segmental glomerulosclerosis 96:Focal segmental glomerulosclerosis 14: 2977:Journal of Clinical Investigation 1112:Drawing of the kidney glomerulus. 687:deficiency caused by the loss of 603:Spontaneous bacterial peritonitis 3853:"Tratamiento de la hipocalcemia" 3441:Cardiología en atención primaria 2578:Álvarez, Sandalio Durán (1999). 2410:. McGraw - Hill Interamericana. 2001:and thrombotic phenomena and/or 1653:, dilated veins over umbilicus ( 1203:Along with obtaining a complete 4548:Syndromes affecting the kidneys 3336:10.4067/S0370-41062006000300011 2620:10.4321/s0212-71992007000900008 2500:"Case Based Pediatrics Chapter" 2377:. See table 4.2. Archived from 1169:associated with this syndrome. 4097:" Pediatric Nephrology Handout 4095:Nephrotic Syndrome in Children 3895:10.1002/14651858.CD001533.pub5 3443:. Harcourt. pp. 114–117. 2171:"Nephrotic Syndrome in Adults" 583:and in the most serious cases 394:Erythrocyte sedimentation rate 1: 3996:"Pronóstico de la enfermedad" 2095:control and kidney function ( 1222:comprehensive metabolic panel 1056:Minimal change disease (MCD) 958:congenital nephrotic syndrome 799:Membranous glomerulonephritis 4076:Childhood Nephrotic Syndrome 3323:Revista Chilena de Pediatría 1039:Hypertensive nephrosclerosis 1001:Systemic lupus erythematosus 991:Membranous nephropathy (MN) 864:Systemic lupus erythematosus 833:Secondary glomerulonephrosis 738:nephrotic syndrome (primary 432:systemic lupus erythematosus 157:Directed at underlying cause 4264:Template:Glomerular disease 3766:Glassock RJ (August 2007). 3085:10.1152/ajprenal.00093.2019 2584:Revista Cubana de Pediatría 2294:Nelson Tratado de Pediatria 2034:of the cyclophosphamide is 1916:: an appropriate course of 1879:and resinous sequesters of 825:They are considered to be " 787:in the glomeruli. The term 403:, due to a lowering of the 4569: 4353:Balkan endemic nephropathy 4093:Clardy, Chris (May 2000) " 3237:10.3390/diagnostics6010002 3144:10.1016/j.kint.2023.02.031 2923:10.1016/j.kint.2016.10.013 2644:Medicina interna. Secretos 2607:Anales de Medicina Interna 2239:. CRC Press. p. 307. 750:Primary glomerulonephrosis 18: 4388:Renovascular hypertension 3485:Bustillo Solano, Emilio. 2072:necessary and subsequent 1754:Medical nutrition therapy 1562: 1560: 1558: 1556: 1554: 1548: 1546: 1544: 1542: 1540: 1534: 1532: 1530: 1528: 1526: 1516: 1512: 1510: 1508: 1506: 1504: 1502: 1500: 1498: 1492: 1490: 1488: 1486: 1484: 1482: 1480: 1478: 1396: 1394: 1392: 1390: 1388: 1378: 1374: 1372: 1366: 1364: 1267:), specifically elevated 662:25-hydroxycholecalciferol 301:that begins in the face. 45: 36: 4489:Renal papillary necrosis 4383:Hypertensive nephropathy 4085:Adult Nephrotic Syndrome 2300:, España. p. 1755. 2085:end stage kidney disease 1914:Infectious complications 1677:corticosteroids and sex 1289:corticosteroid resistant 590:Streptococcus pneumoniae 504:renin–angiotensin system 374:(rarely) may also occur. 314:The most common sign is 188:low blood albumin levels 19:Not to be confused with 4553:Disorders causing edema 4393:Renal cortical necrosis 3994:Guerrero Fernández, J. 3273:"Nefrología y urología" 2203:Ferri, Fred F. (2017). 1889:: low molecular weight 1063:Malignancy, especially 4429:Chronic kidney disease 4343:Interstitial nephritis 4300:Acute tubular necrosis 4283:Renal tubular acidosis 4018:. 1995. Archived from 3785:10.1681/ASN.2006111300 3742:Jiménez Alonso, Juan. 3541:"El reposo prolongado" 3516:Farmacología integrada 2119:minimal change disease 2062:chronic kidney failure 2056:responds very well to 2054:minimal change disease 1671:antihypertensive drugs 1619:Differential diagnosis 1322:of the whole abdomen. 1234:Creatinine Clearance C 1200: 1197:Ultrasound of a kidney 1189: 1113: 842: 827:diagnoses of exclusion 763:Minimal change disease 731: 596:Haemophilus influenzae 386:may be present due to 282: 219:minimal change disease 215:membranous nephropathy 182:damage. This includes 165:5 per 100,000 per year 135:Differential diagnosis 104:minimal change disease 100:membranous nephropathy 4452:Analgesic nephropathy 4373:Renal artery stenosis 2079:Other causes such as 1316:serum electrophoresis 1195: 1180: 1159:alpha-2 macroglobulin 1111: 987:By histologic pattern 964:in which the protein 840: 729: 322:Puffiness around the 268: 257:children and adults. 249:in that there are no 4457:Renal osteodystrophy 3695:on February 12, 2008 3131:Kidney International 2911:Kidney International 2880:"Nephrotic syndrome" 2695:"Cushing's Syndrome" 2384:on 24 September 2015 2040:Complete blood count 1778:diuretic medications 1661:), enlarged spleen, 1280:anatomical pathology 1265:hypercholesterolemia 1224:(CMP) will look for 854:Diabetic nephropathy 746:nephrotic syndrome. 652:Vitamin D deficiency 644:and is found in the 636:: deficiency of the 184:protein in the urine 4424:Acute renal failure 3940:Clin Pharmacol Ther 3772:J. Am. Soc. Nephrol 3666:on 7 September 2008 2083:frequently lead to 2060:and does not cause 1717:glycated hemoglobin 974:( e.g. gold salts, 775:electron microscope 581:meningoencephalitis 204:high blood pressure 174:is a collection of 86:high blood pressure 4515:Reflux nephropathy 4472:Diabetes insipidus 4254:Glomerular disease 4175:External resources 3553:on 24 January 2009 3539:Saz Peiro, Pablo. 3038:10.1042/cs20040095 2788:James W Lohr, MD. 2479:Medical News Today 1987:avascular necrosis 1450:Nephrotic syndrome 1201: 1190: 1114: 1065:Hodgkin's lymphoma 996:Sjögren's syndrome 930:amyloid substances 914:Sjögren's syndrome 868:autoimmune disease 843: 771:optical microscope 740:glomerulonephrosis 732: 716:Cushing's syndrome 706:Growth retardation 527:lipoprotein lipase 421:nephritic syndrome 283: 261:Signs and symptoms 247:nephritic syndrome 245:. It differs from 202:, infections, and 194:, and significant 172:Nephrotic syndrome 140:Nephritic syndrome 32:Nephrotic syndrome 21:Nephritic syndrome 4525: 4524: 4402:General syndromes 4323:Liddle's syndrome 4318:Gitelman syndrome 4212: 4211: 2983:(10): 4313–4328. 2864:978-0-387-31126-5 2542:10.1172/JCI105639 2074:kidney transplant 1908:therapeutic range 1849:as a side effect. 1713:diabetes mellitus 1707:, weight loss or 1693:Metastatic cancer 1616: 1615: 1418: 1417: 1245:organic compounds 1007:Diabetes mellitus 954:Genetic disorders 928:: the deposit of 531:apolipoprotein C2 490:protein synthesis 352:peritoneal cavity 293:(< 3.5 g/dl), 192:high blood lipids 169: 168: 119:Diagnostic method 26:Medical condition 4560: 4313:Bartter syndrome 4308:Fanconi syndrome 4239: 4232: 4225: 4216: 4102: 4063: 4062: 4044: 4031: 4030: 4028: 4027: 4012: 4006: 4005: 4003: 4002: 3991: 3982: 3981: 3963: 3935: 3929: 3923: 3917: 3916: 3906: 3874: 3868: 3867: 3865: 3864: 3855:. Archived from 3849: 3843: 3842: 3840: 3839: 3830:. Archived from 3824: 3818: 3817: 3815: 3814: 3804: 3798: 3797: 3787: 3763: 3757: 3756: 3754: 3753: 3748: 3739: 3733: 3732: 3714: 3708: 3707: 3702: 3700: 3691:. Archived from 3685: 3679: 3678: 3673: 3671: 3662:. Archived from 3656: 3650: 3649: 3644: 3642: 3636: 3630:. Archived from 3629: 3621: 3615: 3614: 3612: 3610: 3600: 3594: 3593: 3591: 3589: 3580:. Archived from 3574: 3563: 3562: 3560: 3558: 3552: 3546:. Archived from 3545: 3536: 3530: 3529: 3511: 3502: 3501: 3499: 3498: 3489:. Archived from 3482: 3476: 3475: 3473: 3472: 3461: 3455: 3454: 3436: 3427: 3426: 3424: 3423: 3413: 3407: 3406: 3388: 3382: 3381: 3375: 3367: 3365: 3364: 3353: 3347: 3346: 3344: 3343: 3338: 3314: 3305: 3304: 3302: 3300: 3290: 3284: 3283: 3281: 3279: 3269: 3260: 3259: 3249: 3239: 3215: 3209: 3208: 3206: 3204: 3195:. Archived from 3189: 3183: 3182: 3164: 3146: 3121: 3115: 3114: 3104: 3079:(4): F913–F921. 3064: 3058: 3057: 3026:Clinical Science 3017: 3011: 3010: 3000: 2989:10.1172/JCI98688 2967: 2961: 2960: 2934: 2901: 2895: 2894: 2892: 2891: 2882:. Archived from 2876: 2867: 2856: 2847: 2846: 2844: 2842: 2832: 2826: 2825: 2823: 2821: 2811: 2800: 2799: 2797: 2796: 2785: 2779: 2778: 2776: 2775: 2765: 2756: 2755: 2753: 2751: 2741: 2735: 2734: 2732: 2730: 2716: 2710: 2709: 2707: 2705: 2691: 2685: 2684: 2679: 2677: 2667: 2658: 2657: 2639: 2633: 2632: 2622: 2598: 2592: 2591: 2575: 2564: 2563: 2553: 2521: 2515: 2514: 2512: 2510: 2496: 2490: 2489: 2487: 2485: 2470: 2464: 2463: 2461: 2459: 2449: 2443: 2442: 2440: 2439: 2428: 2422: 2421: 2403: 2394: 2393: 2391: 2389: 2383: 2376: 2368: 2362: 2361: 2343: 2337: 2336: 2334: 2333: 2324:. Archived from 2318: 2312: 2311: 2289: 2283: 2282: 2262: 2251: 2250: 2230: 2221: 2220: 2200: 2187: 2186: 2184: 2182: 2167: 2024:cyclophosphamide 2020:Immunosupressors 1964:cyclophosphamide 1904:prothrombin time 1806:pleural effusion 1701:Multiple myeloma 1663:spider angiomata 1638:liquid retention 1423: 1422: 1333: 1332: 1152:oncotic pressure 962:genetic disorder 936:Multiple myeloma 847:inclusion bodies 541:antithrombin III 500:oncotic pressure 488:level, that is, 457:Muehrcke's nails 438:associated with 430:associated with 388:pleural effusion 345:pleural effusion 241:and sometimes a 41: 29: 4568: 4567: 4563: 4562: 4561: 4559: 4558: 4557: 4538:Kidney diseases 4528: 4527: 4526: 4521: 4440: 4397: 4359: 4329: 4269: 4248: 4243: 4213: 4208: 4207: 4170: 4169: 4113: 4072: 4067: 4066: 4059: 4046: 4045: 4034: 4025: 4023: 4014: 4013: 4009: 4000: 3998: 3993: 3992: 3985: 3952:10.1002/cpt.372 3937: 3936: 3932: 3924: 3920: 3889:(3): CD001533. 3876: 3875: 3871: 3862: 3860: 3851: 3850: 3846: 3837: 3835: 3826: 3825: 3821: 3812: 3810: 3806: 3805: 3801: 3765: 3764: 3760: 3751: 3749: 3746: 3741: 3740: 3736: 3729: 3716: 3715: 3711: 3698: 3696: 3687: 3686: 3682: 3669: 3667: 3658: 3657: 3653: 3640: 3638: 3634: 3627: 3623: 3622: 3618: 3608: 3606: 3602: 3601: 3597: 3587: 3585: 3576: 3575: 3566: 3556: 3554: 3550: 3543: 3538: 3537: 3533: 3526: 3513: 3512: 3505: 3496: 3494: 3484: 3483: 3479: 3470: 3468: 3463: 3462: 3458: 3451: 3438: 3437: 3430: 3421: 3419: 3415: 3414: 3410: 3403: 3390: 3389: 3385: 3368: 3362: 3360: 3355: 3354: 3350: 3341: 3339: 3316: 3315: 3308: 3298: 3296: 3292: 3291: 3287: 3277: 3275: 3271: 3270: 3263: 3217: 3216: 3212: 3202: 3200: 3191: 3190: 3186: 3123: 3122: 3118: 3066: 3065: 3061: 3019: 3018: 3014: 2969: 2968: 2964: 2903: 2902: 2898: 2889: 2887: 2878: 2877: 2870: 2857: 2850: 2840: 2838: 2834: 2833: 2829: 2819: 2817: 2813: 2812: 2803: 2794: 2792: 2787: 2786: 2782: 2773: 2771: 2767: 2766: 2759: 2749: 2747: 2743: 2742: 2738: 2728: 2726: 2718: 2717: 2713: 2703: 2701: 2693: 2692: 2688: 2675: 2673: 2669: 2668: 2661: 2654: 2641: 2640: 2636: 2600: 2599: 2595: 2577: 2576: 2567: 2530:J. Clin. Invest 2523: 2522: 2518: 2508: 2506: 2498: 2497: 2493: 2483: 2481: 2472: 2471: 2467: 2457: 2455: 2451: 2450: 2446: 2437: 2435: 2430: 2429: 2425: 2418: 2405: 2404: 2397: 2387: 2385: 2381: 2374: 2370: 2369: 2365: 2358: 2345: 2344: 2340: 2331: 2329: 2320: 2319: 2315: 2308: 2291: 2290: 2286: 2279: 2264: 2263: 2254: 2247: 2232: 2231: 2224: 2217: 2202: 2201: 2190: 2180: 2178: 2177:. February 2014 2169: 2168: 2147: 2142: 2129:epidemiological 2112: 2049: 1954:Corticosteroids 1946: 1861:Hyperlipidaemia 1855:Hypoalbuminemia 1738: 1730: 1621: 1343: 1328: 1285:corticosteroids 1237: 1226:hypoalbuminemia 1205:medical history 1175: 1145:immunoglobulins 1106: 1104:Pathophysiology 1089: 989: 890:(collection of 877:lupus nephritis 872:immunocomplexes 835: 752: 724: 620:Pulmonary edema 556: 519:Hyperlipidaemia 486:liver clearance 482:Hypoalbuminemia 405:surface tension 295:hyperlipidaemia 291:hypoalbuminemia 263: 251:red blood cells 27: 24: 17: 12: 11: 5: 4566: 4564: 4556: 4555: 4550: 4545: 4540: 4530: 4529: 4523: 4522: 4520: 4519: 4518: 4517: 4512: 4507: 4505:Hydronephrosis 4493: 4492: 4491: 4481: 4480: 4479: 4469: 4464: 4459: 4454: 4448: 4446: 4442: 4441: 4439: 4438: 4437: 4436: 4431: 4426: 4416: 4411: 4405: 4403: 4399: 4398: 4396: 4395: 4390: 4385: 4380: 4378:Renal ischemia 4375: 4369: 4367: 4361: 4360: 4358: 4357: 4356: 4355: 4350: 4348:Pyelonephritis 4339: 4337: 4331: 4330: 4328: 4327: 4326: 4325: 4320: 4315: 4310: 4302: 4297: 4296: 4295: 4290: 4279: 4277: 4271: 4270: 4268: 4267: 4258: 4256: 4250: 4249: 4246:Kidney disease 4244: 4242: 4241: 4234: 4227: 4219: 4210: 4209: 4206: 4205: 4191: 4179: 4178: 4176: 4172: 4171: 4168: 4167: 4156: 4145: 4130: 4114: 4109: 4108: 4106: 4105:Classification 4099: 4098: 4091: 4082: 4071: 4070:External links 4068: 4065: 4064: 4057: 4032: 4007: 3983: 3930: 3918: 3869: 3844: 3819: 3799: 3758: 3734: 3727: 3709: 3680: 3651: 3616: 3595: 3564: 3531: 3524: 3503: 3477: 3456: 3449: 3428: 3408: 3401: 3383: 3348: 3329:(3): 295–303. 3306: 3285: 3261: 3210: 3184: 3137:(2): 265–278. 3116: 3059: 3032:(2): 125–136. 3012: 2962: 2917:(4): 937–947. 2896: 2868: 2848: 2827: 2801: 2780: 2757: 2736: 2711: 2686: 2659: 2652: 2634: 2609:(in Spanish). 2593: 2586:(in Spanish). 2565: 2536:(9): 1475–81. 2516: 2491: 2465: 2444: 2423: 2416: 2395: 2363: 2356: 2338: 2313: 2307:978-8481747478 2306: 2296:(in Spanish). 2284: 2278:978-1455726561 2277: 2252: 2245: 2222: 2215: 2188: 2144: 2143: 2141: 2138: 2111: 2108: 2093:blood pressure 2048: 2045: 2044: 2043: 2012: 2011: 2010: 2009: 2006: 1979: 1975: 1945: 1942: 1941: 1940: 1937:ACE inhibitors 1933:Blood pressure 1930: 1922: 1921: 1911: 1906:is within its 1900:anticoagulants 1884: 1869:hypolipidaemic 1865:saturated fats 1858: 1851: 1850: 1839: 1838: 1837: 1833: 1830: 1816: 1815: 1814: 1813: 1782:loop diuretics 1771: 1751: 1737: 1734: 1729: 1726: 1725: 1724: 1689:fluid overload 1683: 1682: 1620: 1617: 1614: 1612: 1611: 1606: 1604: 1602: 1600: 1595: 1593: 1591: 1589: 1584: 1582: 1580: 1578: 1573: 1571: 1569: 1566: 1565: 1563: 1561: 1559: 1557: 1555: 1553: 1551: 1549: 1547: 1545: 1543: 1541: 1539: 1537: 1535: 1533: 1531: 1529: 1527: 1525: 1523: 1520: 1519: 1517: 1515: 1513: 1511: 1509: 1507: 1505: 1503: 1501: 1499: 1497: 1495: 1493: 1491: 1489: 1487: 1485: 1483: 1481: 1479: 1477: 1475: 1473: 1471: 1469: 1467: 1464: 1462: 1461: 1459: 1457: 1455: 1453: 1451: 1448: 1446: 1444: 1442: 1440: 1438: 1436: 1434: 1432: 1430: 1428: 1426: 1416: 1414: 1413: 1410: 1408: 1406: 1404: 1400: 1399: 1397: 1395: 1393: 1391: 1389: 1387: 1385: 1382: 1381: 1379: 1377: 1375: 1373: 1371: 1369: 1367: 1365: 1363: 1361: 1359: 1356: 1354: 1353: 1351: 1349: 1347: 1345: 1340: 1338: 1336: 1327: 1326:Classification 1324: 1235: 1207:, a series of 1174: 1171: 1167:hyperlipidemia 1105: 1102: 1088: 1085: 1084: 1083: 1074: 1073: 1070: 1067: 1061: 1054: 1053: 1050: 1045: 1040: 1030: 1029: 1026: 1023: 1017: 1014: 1009: 1004: 998: 988: 985: 984: 983: 969: 951: 945: 939: 933: 923: 917: 911: 901: 895: 881: 861: 834: 831: 823: 822: 812: 802: 796: 778: 751: 748: 723: 720: 719: 718: 713: 703: 692: 674: 664:(the way that 655: 649: 634:Hypothyroidism 631: 617: 610:kidney failure 606: 600: 570: 563:Thromboembolic 555: 552: 551: 550: 544: 534: 516: 509:pleural cavity 493: 479: 461: 460: 454: 447:cardiovascular 443: 424: 407:by the severe 397: 391: 381: 375: 368: 367: 366: 359: 348: 341:pleural cavity 337: 327: 262: 259: 253:in the urine. 167: 166: 163: 159: 158: 155: 151: 150: 137: 131: 130: 121: 115: 114: 93: 89: 88: 84:, infections, 79: 73: 72: 66: 60: 59: 54: 48: 47: 43: 42: 34: 33: 25: 15: 13: 10: 9: 6: 4: 3: 2: 4565: 4554: 4551: 4549: 4546: 4544: 4541: 4539: 4536: 4535: 4533: 4516: 4513: 4511: 4508: 4506: 4503: 4502: 4501: 4497: 4494: 4490: 4487: 4486: 4485: 4484:Renal papilla 4482: 4478: 4475: 4474: 4473: 4470: 4468: 4465: 4463: 4460: 4458: 4455: 4453: 4450: 4449: 4447: 4443: 4435: 4432: 4430: 4427: 4425: 4422: 4421: 4420: 4419:Renal failure 4417: 4415: 4412: 4410: 4407: 4406: 4404: 4400: 4394: 4391: 4389: 4386: 4384: 4381: 4379: 4376: 4374: 4371: 4370: 4368: 4366: 4362: 4354: 4351: 4349: 4346: 4345: 4344: 4341: 4340: 4338: 4336: 4332: 4324: 4321: 4319: 4316: 4314: 4311: 4309: 4306: 4305: 4303: 4301: 4298: 4294: 4291: 4289: 4286: 4285: 4284: 4281: 4280: 4278: 4276: 4272: 4266: 4265: 4260: 4259: 4257: 4255: 4251: 4247: 4240: 4235: 4233: 4228: 4226: 4221: 4220: 4217: 4204: 4201: 4197: 4196: 4192: 4190: 4186: 4185: 4181: 4180: 4177: 4173: 4166: 4162: 4161: 4157: 4155: 4151: 4150: 4146: 4144: 4140: 4139: 4135: 4131: 4129: 4125: 4124: 4120: 4116: 4115: 4112: 4107: 4103: 4096: 4092: 4090: 4086: 4083: 4081: 4077: 4074: 4073: 4069: 4060: 4054: 4050: 4043: 4041: 4039: 4037: 4033: 4022:on 2016-03-25 4021: 4017: 4011: 4008: 3997: 3990: 3988: 3984: 3979: 3975: 3971: 3967: 3962: 3961:11368/2878528 3957: 3953: 3949: 3946:(3): 268–74. 3945: 3941: 3934: 3931: 3928: 3922: 3919: 3914: 3910: 3905: 3900: 3896: 3892: 3888: 3884: 3880: 3873: 3870: 3859:on 2008-09-15 3858: 3854: 3848: 3845: 3834:on 2008-09-15 3833: 3829: 3823: 3820: 3809: 3803: 3800: 3795: 3791: 3786: 3781: 3778:(8): 2221–5. 3777: 3773: 3769: 3762: 3759: 3745: 3738: 3735: 3730: 3724: 3720: 3713: 3710: 3706: 3694: 3690: 3684: 3681: 3677: 3665: 3661: 3655: 3652: 3648: 3637:on 2008-09-20 3633: 3626: 3620: 3617: 3605: 3599: 3596: 3584:on 2009-01-22 3583: 3579: 3573: 3571: 3569: 3565: 3549: 3542: 3535: 3532: 3527: 3521: 3517: 3510: 3508: 3504: 3493:on 2008-09-14 3492: 3488: 3481: 3478: 3467: 3460: 3457: 3452: 3446: 3442: 3435: 3433: 3429: 3418: 3412: 3409: 3404: 3402:0-7817-2909-2 3398: 3394: 3387: 3384: 3379: 3373: 3358: 3352: 3349: 3337: 3332: 3328: 3324: 3320: 3313: 3311: 3307: 3295: 3289: 3286: 3274: 3268: 3266: 3262: 3257: 3253: 3248: 3243: 3238: 3233: 3229: 3225: 3221: 3214: 3211: 3199:on 2008-09-08 3198: 3194: 3188: 3185: 3180: 3176: 3172: 3168: 3163: 3158: 3154: 3150: 3145: 3140: 3136: 3132: 3128: 3120: 3117: 3112: 3108: 3103: 3098: 3094: 3090: 3086: 3082: 3078: 3074: 3070: 3063: 3060: 3055: 3051: 3047: 3043: 3039: 3035: 3031: 3027: 3023: 3016: 3013: 3008: 3004: 2999: 2994: 2990: 2986: 2982: 2978: 2974: 2966: 2963: 2958: 2954: 2950: 2946: 2942: 2938: 2933: 2928: 2924: 2920: 2916: 2912: 2908: 2900: 2897: 2886:on 2013-04-23 2885: 2881: 2875: 2873: 2869: 2865: 2861: 2855: 2853: 2849: 2837: 2831: 2828: 2816: 2810: 2808: 2806: 2802: 2791: 2784: 2781: 2770: 2764: 2762: 2758: 2746: 2740: 2737: 2725: 2721: 2715: 2712: 2700: 2696: 2690: 2687: 2683: 2672: 2666: 2664: 2660: 2655: 2649: 2645: 2638: 2635: 2630: 2626: 2621: 2616: 2612: 2608: 2604: 2597: 2594: 2589: 2585: 2581: 2574: 2572: 2570: 2566: 2561: 2557: 2552: 2547: 2543: 2539: 2535: 2531: 2527: 2520: 2517: 2505: 2501: 2495: 2492: 2480: 2476: 2469: 2466: 2454: 2448: 2445: 2434: 2427: 2424: 2419: 2413: 2409: 2402: 2400: 2396: 2380: 2373: 2367: 2364: 2359: 2357:0-07-138076-0 2353: 2349: 2342: 2339: 2328:on 2008-12-20 2327: 2323: 2317: 2314: 2309: 2303: 2299: 2295: 2288: 2285: 2280: 2274: 2270: 2269: 2261: 2259: 2257: 2253: 2248: 2246:9781482214635 2242: 2238: 2237: 2229: 2227: 2223: 2218: 2216:9780323529570 2212: 2208: 2207: 2199: 2197: 2195: 2193: 2189: 2176: 2172: 2166: 2164: 2162: 2160: 2158: 2156: 2154: 2152: 2150: 2146: 2139: 2137: 2135: 2130: 2125: 2122: 2120: 2115: 2109: 2107: 2105: 2100: 2098: 2094: 2090: 2086: 2082: 2077: 2075: 2071: 2067: 2063: 2059: 2055: 2046: 2041: 2037: 2033: 2029: 2025: 2021: 2018: 2017: 2016: 2007: 2004: 2000: 1996: 1992: 1988: 1984: 1980: 1976: 1972: 1971: 1969: 1965: 1960: 1956: 1955: 1951: 1950: 1949: 1944:Kidney damage 1943: 1938: 1934: 1931: 1928: 1927: 1926: 1919: 1918:antibacterial 1915: 1912: 1909: 1905: 1901: 1896: 1892: 1888: 1887:Thrombophilia 1885: 1882: 1878: 1874: 1870: 1866: 1862: 1859: 1856: 1853: 1852: 1848: 1844: 1840: 1834: 1831: 1828: 1824: 1820: 1819: 1818: 1817: 1811: 1810:intravenously 1807: 1803: 1799: 1795: 1791: 1787: 1783: 1779: 1775: 1772: 1769: 1764: 1759: 1756:: based on a 1755: 1752: 1749: 1748: 1746: 1743: 1742: 1741: 1735: 1733: 1727: 1722: 1718: 1714: 1710: 1706: 1702: 1698: 1697: 1696: 1694: 1690: 1687: 1680: 1676: 1672: 1668: 1664: 1660: 1656: 1655:caput medusae 1652: 1648: 1644: 1639: 1635: 1634:liver failure 1631: 1630:heart failure 1627: 1626: 1625: 1618: 1613: 1610: 1599: 1588: 1577: 1567: 1564: 1552: 1550: 1538: 1536: 1524: 1522: 1521: 1514: 1496: 1494: 1476: 1474: 1465: 1463: 1424: 1421: 1415: 1401: 1398: 1386: 1384: 1383: 1376: 1370: 1368: 1362: 1360: 1357: 1355: 1334: 1331: 1325: 1323: 1321: 1317: 1313: 1312:cryoglobulins 1309: 1305: 1301: 1297: 1292: 1290: 1286: 1281: 1276: 1274: 1270: 1266: 1262: 1258: 1254: 1250: 1246: 1242: 1238: 1231: 1227: 1223: 1219: 1218:urinary casts 1215: 1210: 1206: 1198: 1194: 1187: 1183: 1179: 1172: 1170: 1168: 1164: 1160: 1155: 1153: 1148: 1146: 1142: 1138: 1134: 1133:hyalinization 1130: 1125: 1123: 1119: 1110: 1103: 1101: 1097: 1096: 1092: 1086: 1082: 1079: 1078: 1077: 1071: 1068: 1066: 1062: 1059: 1058: 1057: 1051: 1049: 1046: 1044: 1041: 1038: 1037: 1036: 1034: 1027: 1024: 1021: 1018: 1015: 1013: 1010: 1008: 1005: 1002: 999: 997: 994: 993: 992: 986: 981: 977: 973: 970: 967: 963: 959: 955: 952: 949: 946: 943: 940: 937: 934: 931: 927: 924: 921: 918: 915: 912: 909: 905: 902: 899: 896: 893: 889: 885: 882: 879: 878: 873: 869: 865: 862: 859: 855: 852: 851: 850: 848: 839: 832: 830: 828: 820: 819:crescent moon 816: 813: 810: 806: 803: 800: 797: 794: 790: 786: 782: 779: 776: 772: 768: 764: 761: 760: 759: 757: 749: 747: 745: 741: 737: 728: 721: 717: 714: 711: 707: 704: 701: 697: 693: 690: 686: 682: 679: 675: 672: 667: 663: 659: 658:Hypocalcaemia 656: 653: 650: 647: 643: 639: 638:thyroglobulin 635: 632: 629: 625: 621: 618: 615: 611: 607: 604: 601: 598: 597: 592: 591: 586: 582: 578: 574: 571: 568: 564: 561: 560: 559: 554:Complications 553: 548: 545: 542: 538: 537:Thrombophilia 535: 532: 528: 524: 520: 517: 514: 510: 505: 501: 497: 494: 491: 487: 483: 480: 476: 471: 468: 467: 466: 465: 458: 455: 452: 448: 444: 441: 437: 433: 429: 425: 422: 418: 414: 410: 406: 402: 398: 395: 392: 389: 385: 382: 379: 376: 373: 369: 364: 360: 357: 353: 350:Fluid in the 349: 346: 342: 339:Fluid in the 338: 335: 331: 330:Pitting edema 328: 325: 321: 320: 317: 313: 312: 311: 310: 306: 304: 300: 296: 292: 288: 280: 276: 272: 267: 260: 258: 254: 252: 248: 244: 243:kidney biopsy 240: 239:urine testing 236: 232: 228: 224: 220: 216: 212: 207: 205: 201: 197: 193: 189: 185: 181: 177: 173: 164: 160: 156: 152: 149: 145: 141: 138: 136: 132: 129: 128:kidney biopsy 125: 124:Urine testing 122: 120: 116: 113: 109: 105: 101: 97: 94: 90: 87: 83: 80: 78: 77:Complications 74: 70: 67: 65: 61: 58: 55: 53: 49: 44: 40: 35: 30: 22: 4510:Pyonephrosis 4462:Nephroptosis 4335:Interstitium 4261: 4193: 4182: 4158: 4147: 4132: 4117: 4048: 4024:. Retrieved 4020:the original 4010: 3999:. Retrieved 3943: 3939: 3933: 3926: 3921: 3886: 3882: 3872: 3861:. Retrieved 3857:the original 3847: 3836:. Retrieved 3832:the original 3822: 3811:. Retrieved 3802: 3775: 3771: 3761: 3750:. Retrieved 3737: 3718: 3712: 3704: 3697:. Retrieved 3693:the original 3683: 3675: 3668:. Retrieved 3664:the original 3654: 3646: 3639:. Retrieved 3632:the original 3619: 3607:. Retrieved 3598: 3586:. Retrieved 3582:the original 3555:. Retrieved 3548:the original 3534: 3518:. Harcourt. 3515: 3495:. Retrieved 3491:the original 3480: 3469:. Retrieved 3459: 3440: 3420:. Retrieved 3411: 3392: 3386: 3361:. Retrieved 3351: 3340:. Retrieved 3326: 3322: 3297:. Retrieved 3288: 3276:. Retrieved 3227: 3223: 3213: 3201:. Retrieved 3197:the original 3187: 3134: 3130: 3119: 3076: 3072: 3062: 3029: 3025: 3015: 2980: 2976: 2965: 2914: 2910: 2899: 2888:. Retrieved 2884:the original 2839:. Retrieved 2830: 2818:. Retrieved 2793:. Retrieved 2783: 2772:. Retrieved 2748:. 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Retrieved 2174: 2126: 2123: 2116: 2113: 2110:Epidemiology 2103: 2101: 2078: 2050: 2013: 1983:hypertension 1952: 1947: 1923: 1913: 1895:prophylactic 1886: 1860: 1854: 1847:hypokalaemia 1780:(especially 1744: 1739: 1731: 1684: 1643:cardiomegaly 1622: 1419: 1329: 1293: 1288: 1277: 1249:Electrolytes 1202: 1163:lipoproteins 1156: 1149: 1141:antithrombin 1132: 1129:inflammation 1126: 1115: 1098: 1094: 1093: 1090: 1075: 1055: 1031: 990: 929: 892:immune cells 875: 844: 824: 818: 792: 788: 753: 743: 735: 733: 696:malnutrition 594: 588: 557: 523:lipoproteins 485: 463: 462: 372:hypertension 316:excess fluid 308: 307: 284: 255: 208: 171: 170: 148:malnutrition 4496:Major calyx 4477:Nephrogenic 4184:MedlinePlus 3224:Diagnostics 2089:proteinuria 2032:side effect 2028:neutropenia 1827:haematocrit 1823:haemoglobin 1736:Symptomatic 1721:amyloidosis 1296:auto-immune 1261:cholesterol 1214:proteinuria 1209:biochemical 1095:Non-Genetic 1081:Hepatitis C 1052:Kidney loss 1012:Sarcoidosis 926:Amyloidosis 904:Hepatitis B 884:Sarcoidosis 678:hypochromic 676:Microcytic 614:hypovolemia 585:septicaemia 577:peritonitis 470:Proteinuria 409:proteinuria 287:proteinuria 231:amyloidosis 200:blood clots 82:Blood clots 4543:Pediatrics 4532:Categories 4160:DiseasesDB 4058:9589400639 4026:2016-05-21 4001:2016-05-21 3863:2008-09-14 3838:2008-09-14 3813:2008-09-14 3752:2008-09-14 3728:8481748161 3525:8481743402 3497:2008-09-14 3471:2008-09-14 3450:8481744328 3422:2008-09-14 3363:2008-09-14 3342:2008-09-14 2890:2016-05-21 2795:2013-06-28 2774:2013-06-28 2653:8481748862 2504:Hawaii.edu 2438:2008-09-14 2417:8448600932 2332:2015-12-25 2181:9 November 2140:References 1974:the night. 1968:levamisole 1959:Prednisone 1881:bile acids 1786:furosemide 1784:, such as 1774:Medication 1320:ultrasound 1257:creatinine 1241:Creatinine 1186:haematuria 1182:Urinalysis 1020:Malignancy 976:penicillin 960:is a rare 942:Vasculitis 906:: certain 888:granulomas 809:antibodies 660:: lack of 573:Infections 513:peritoneum 475:creatinine 436:neuropathy 413:haematuria 57:Nephrology 4414:Nephrosis 4409:Nephritis 4195:eMedicine 3179:257639270 3153:0085-2538 3093:1931-857X 3046:0143-5221 2941:0085-2538 2720:"Ascites" 2509:23 August 2458:24 August 2047:Prognosis 2003:embolisms 1999:cataracts 1935:control. 1843:potassium 1794:preputial 1728:Treatment 1709:bone pain 1647:cirrhosis 1412:Secondary 1342:Nephrotic 1298:markers ( 1173:Diagnosis 1072:Bee sting 980:captopril 858:diabetics 793:segmental 756:histology 744:secondary 666:vitamin D 547:Lipiduria 434:, or the 332:over the 303:Lipiduria 235:glomeruli 162:Frequency 154:Treatment 146:, severe 144:cirrhosis 52:Specialty 4365:Vascular 4304:Genetic 4288:proximal 4203:ped/1564 4200:med/1612 3978:37671642 3970:27007551 3913:25785660 3794:17599972 3372:cite web 3256:26838799 3230:(1): 2. 3171:36940798 3111:31339775 3054:15157184 3007:30179222 2949:28117080 2629:18198954 2298:Elsevier 2134:relapses 2070:dialysis 2058:steroids 2036:alopecia 1978:failure. 1877:fibrates 1821:Analyse 1798:urethral 1768:diuresis 1705:asthenia 1679:hormones 1659:pruritus 1651:jaundice 1344:syndrome 1087:Genetics 1022:(cancer) 908:antigens 898:Syphilis 785:scarring 767:nephrons 710:anorexia 702:balance. 700:nitrogen 694:Protein 689:ferritin 628:dyspnoea 567:thrombin 440:diabetes 417:oliguria 363:anasarca 354:causing 343:causing 279:anasarca 223:diabetes 196:swelling 176:symptoms 108:diabetes 69:Swelling 64:Symptoms 4275:Tubules 4154:D009404 3904:7025788 3247:4808817 3162:7616342 3102:6843047 2998:6159964 2957:4768411 2704:11 July 2560:6036540 1989:of the 1891:heparin 1873:statins 1829:levels. 1790:scrotal 1675:adrenal 1669:, some 1403:Primary 1230:albumin 1143:or the 1137:albumin 1122:daltons 1069:Allergy 1048:Obesity 1035:(FSGS) 966:nephrin 866:: this 736:primary 681:anaemia 646:thyroid 624:hypoxia 612:due to 453:system. 384:Dyspnea 378:Anaemia 356:ascites 178:due to 4500:pelvis 4434:Uremia 4293:distal 4189:000490 4055:  3976:  3968:  3911:  3901:  3792:  3725:  3522:  3447:  3399:  3299:12 Sep 3278:12 Sep 3254:  3244:  3177:  3169:  3159:  3151:  3109:  3099:  3091:  3052:  3044:  3005:  2995:  2955:  2947:  2939:  2862:  2729:1 July 2650:  2627:  2558:  2551:292893 2548:  2484:1 July 2414:  2388:12 Sep 2354:  2304:  2275:  2243:  2213:  1802:sepsis 1673:, the 1667:NSAIDs 1318:), or 1118:kidney 948:Cancer 722:Causes 671:tetany 642:iodine 608:Acute 297:, and 275:sodium 217:, and 180:kidney 92:Causes 4445:Other 3974:S2CID 3747:(PDF) 3699:8 Sep 3670:8 Sep 3641:8 Sep 3635:(PDF) 3628:(PDF) 3609:8 Sep 3588:8 Sep 3557:8 Sep 3551:(PDF) 3544:(PDF) 3203:8 Sep 3175:S2CID 2953:S2CID 2841:8 Sep 2820:8 Sep 2750:8 Sep 2676:8 Sep 2382:(PDF) 2375:(PDF) 1745:Edema 1711:. 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Index

Nephritic syndrome

Specialty
Nephrology
Symptoms
Swelling
Complications
Blood clots
high blood pressure
Focal segmental glomerulosclerosis
membranous nephropathy
minimal change disease
diabetes
lupus
Diagnostic method
Urine testing
kidney biopsy
Differential diagnosis
Nephritic syndrome
cirrhosis
malnutrition
symptoms
kidney
protein in the urine
low blood albumin levels
high blood lipids
swelling
blood clots
high blood pressure
focal segmental glomerulosclerosis

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