Symptomatic management of nephrotic syndrome in children
- Patrick Niaudet, MD
Patrick Niaudet, MD
- Section Editor — Pediatric Nephrology
- Professor of Pediatrics
- Hôpital Necker-Enfants Malades, Paris, France
The nephrotic syndrome (NS) is caused by renal diseases that increase the permeability across the glomerular filtration barrier. It is classically characterized by four clinical features, but the first two are used diagnostically because the last two may not be seen in all patients:
●Nephrotic range proteinuria − Urine protein excretion >50 mg/kg per day
●Hypoalbuminemia − Serum albumin <3 g/dL (30 g/L)
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- Salt restriction
- - Furosemide and albumin
- Fluid restriction
- Treatment of venous thromboembolism
- OTHER DIETARY MEASURES
- Caloric intake
- Calcium and vitamin D
- HYPERTENSION AND ACE INHIBITORS
- SUMMARY AND RECOMMENDATIONS