What Are The Symptoms Of Chronic Nephritis And Nephrotic Syndrome
2019-02-21 09:45
Many Kidney Disease patients are confused with Chronic Nephritis and Nephrotic Syndrome, so what are the different between them? Following this article to get answer, or you can consult ONLINE DOCTOR directly in free.
Nephrotic syndrome has four characteristics:
1. Massive proteinuria (urinary protein content (>3.5 g/day)
2. Hypoalbuminemia (serum albumin < 30 g/l)
3. High edema (eyelids, lower extremities edema, even pleural effusion, ascites)
4. Hyperlipidemia
Among them, the first two must be used to diagnose nephrotic syndrome. Most patients with renal syndrome have the latter two characteristics and hematuria, but some patients with renal syndrome do not.
Massive proteinuria causes hypoproteinemia, which in turn causes high edema and hyperlipidemia.
Characteristics of chronic nephritis:
Chronic nephritis is characterized by hematuria, often accompanied by proteinuria and hypertension.
Nephritis and renal syndrome generally have proteinuria; the difference is that the proteinuria of nephritis is usually not very high, generally less than 3.5g/day, occult blood is more obvious.
A patient with mild to moderate proteinuria and hematuria was clinically diagnosed as chronic glomerulonephritis.
A patient with massive proteinuria and hypoproteinemia was clinically diagnosed as nephrotic syndrome.
There are many patients, not only a large number of proteinuria, but also hematuria, hypertension, the usual diagnosis is: chronic nephritis, nephrotic syndrome. Both can occur at the same time.
Is nephrotic syndrome more serious than nephritis?
Some patients think that nephritis is lighter than nephrotic syndrome. In fact, it is not necessarily true that nephritis patients often have no obvious changes in appearance. There are many cases of nephritis more serious than nephrotic syndrome. It is not only because the symptoms of nephritis patients are not obvious, but also because the condition of nephritis is mild. It needs to be combined with urinary protein composition, hematuria, hypertension, renal function, pathological type and so on.
Others believe that nephrotic syndrome is the development of nephritis, and not necessarily.
Nephritis can change into nephrotic syndrome, but it can also progress directly to renal failure without manifestation of nephrotic syndrome. For example, patients with membranous proliferative glomerulonephritis, IgA nephritis grade 4-5 and other nephritis often have low urinary protein, no obvious edema and seemingly mild symptoms, but the rate of renal failure is faster and the risk of uremia is high.
Primary nephrotic syndrome with high edema and obvious symptoms often responds well to drugs and recovers easily.
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