Primary nephrotic syndrome2017-05-05 19:18
Primary nephrotic syndrome. It is caused by primary glomerular diseases, such as minimal change nephropathy, membranous nephropathy, mesangial proliferative nephropathy, mesangial proliferative glomerulonephritis, focal segmental glomerulosclerosis, and so on.
(1) minimal change nephropathy, more common in children and adolescents. Occult onset, gross hematuria.
(2) membranous nephropathy, usually occurring at the age of 35 years, the onset of occult, slow development of the disease, prone to renal vein thrombosis, microscopic hematuria.
(3) mesangial proliferative nephropathy, with the onset of acute onset before the age of 30, almost all patients had microscopic hematuria, renal function showed progressive decline, about 1/3 patients with hypertension.
(4) mesangial proliferative nephritis, predilection in young people, occult onset, can also be an acute attack, accompanied by hematuria, microscopic hematuria, and mild to moderate hypertension.
(5) focal segmental glomerulosclerosis, more common in young people, the majority of patients are almost occult disease, the most common manifestation is nephrotic syndrome, followed by microscopic hematuria, progressive renal dysfunction.