What are the symptoms of minimal change kidney disease? Many kidney disease
patients with minimal change want to know about the symptoms of minimal change
kidney disease.
Children aged 2 to 6 are usually found out to suffer from minimal change
kidney disease while adults aged 30 to 40 are often seem to have got minimal
change kidney disease. What’s more, advanced people who are more than 60 years
old also have high morbidity. Among children sufferers, the morbidity of boys is
twice as high as that of girls. As for adult, the ratio of man and woman is
equally one to one. About one third of patients have infection in the upper
respiratory tract or other infection. The most typical symptoms are obvious
Nephrotic Syndrome, which takes up 90% of children Nephrotic Syndrome and 20% of
adult Nephrotic Syndrome. Blood pressure is normal.
20% of patients with minimal change kidney disease have various degree of
microscopic hematuria. With patients aging, the morbidity of microscopic
hematuria is also increasing. Especially in those aged more than 60, due to
renal interstitial fibrosis and diabetic microangiopathy, the morbidity of
microscopic hematuria is high. However, gross hematuria is rarely seem. Because
blood volume is low and renal perfusion decreases, about one third of patients
with minimal change kidney disease have declined GFR. Through the examination of
urinary sediment, cells or cast can not be found. Among those who are serious,
the protein in urine is more than 40g with 24 hours.
Protein in urine is the typical highly selective one among children, which
mainly includes albumin, and a slight amount of HMWP such as IgG, α2-
macroglobulin, C3, etc.
Patients with minimal change kidney disease should be aware of Hodgkin's
disease. In addition, nephrotic syndrome caused by allergy of steroid
expectorant is also similar to minimal change kidney disease, accompanied by
interstitial nephritis and renal decline.
In rare cases, acute renal failure can occur when there is no obvious low
blood volume. Because hypoproteinemia leads to the decrease of colloid osmotic
pressure, only 7% to 38% of patients with low blood volume have prerenal
axotemia. If there is no typical hypovolemia, urine concentrating power will
decline and sodium will discharge out together from urine.
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