2017年6月8日星期四

Nephritis and nephrotic syndrome

"Nephritis progress, will become a nephrotic syndrome, so nephrotic syndrome than severe nephritis."

Do you think that's right or wrong?

Directly on the right (or not), we may not know why, maybe there will be some people do not believe. Let's take a look at the evidence.

Nephrotic syndrome has four characteristics:

1. A large number of proteinuria (urine protein ≥ 3.5g / day)

2. Hypoalbuminemia (serum albumin <30 g / l)

3. a high degree of edema (which can appear eyelid, lower extremity edema, and even pleural effusion, ascites)

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4. Hyperlipidemia

Among them, kidney disease must have the first two, in order to diagnose nephrotic syndrome. Some scholarly studies have shown that there may be a large number of proteinuria caused by the latter three symptoms.

Nephritis, will develop for nephrotic syndrome?

Nephritis, and indeed often urinary protein. But the characteristics of nephritis, not urinary protein and hypoproteinemia, but hematuria and high blood pressure.

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A hematuria associated with high blood pressure in patients, we can think he is nephritis.

The next two cases: if he is more than 3.5 grams of urine protein, plasma albumin is also lower to 30 below, it can be said that he is nephrotic syndrome; if he has not much urine protein, it is not nephrotic syndrome.
Is nephrotic syndrome worse than nephritis?

This is not necessarily.

Nephritis range is very large, kidney range is also very large, they contain too much of the situation.

Such as FSGS, membranous hyperplastic kidney disease, may not much urine protein, I have seen a few such. You think he did not appear nephrotic syndrome, you can rest assured? Results nephritis direct kidney failure.

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