Paper I
2022 February (2019 Scheme) · 100 marks · 180 min

Question

Nephrotic range proteinuria – Definition and common causes

Q124 marksShort Answers

Answer

Definition

  • Nephrotic-range proteinuria is urinary protein excretion of ≥3.5 g/24 hours (in adults), the threshold that defines nephrotic syndrome when accompanied by hypoalbuminaemia, oedema, and hyperlipidaemia

Common causes

  • Primary glomerular diseases:
    • Minimal change disease (most common cause in children)
    • Focal segmental glomerulosclerosis
    • Membranous nephropathy (most common cause in adults)
    • Membranoproliferative glomerulonephritis
  • Secondary causes:
    • Diabetic nephropathy (most common secondary cause overall)
    • Systemic lupus erythematosus (lupus nephritis)
    • Amyloidosis
    • Hepatitis B/C-associated glomerulonephritis
    • Drug-induced (NSAIDs, gold, penicillamine)
    • Malignancy-associated (paraneoplastic membranous nephropathy)

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