Question
The child was in good spirits before falling ill. For the past week, there had been symptoms of vomiting and diarrhea. On the evening of January 1st, there was noticeable swelling in the lower limbs. By the morning of the 2nd, there was significant swelling in the upper limbs and face. Upon urine testing at the hospital, there were three plus signs of proteinuria, hemoglobin level of 106g/l, with the rest of the results normal. What tests are needed for nephrotic syndrome?
Answer
Generally speaking, one doesn’t suddenly develop nephrotic syndrome! It should be a long-term condition such as hypertension nephropathy, diabetic nephropathy, or chronic nephritis that has not been cured for a long time, leading to secondary nephrotic syndrome. The diagnostic criteria for nephrotic syndrome are: 24-hour urine protein greater than 3.5 grams; serum albumin content less than 30 grams per liter. I wonder if you have had these two tests? This condition is usually treated with hormones and is difficult to cure! I suggest you go to a regular hospital for examination to clarify whether the diagnosis is this disease and then choose an appropriate treatment plan! Doctor’s Inquiry: Do you understand? Any more questions?