Nephrotic syndrome is not a specific disease entity but can be the end result of a number of processes. Which of the following cause nephrotic syndrome?
A) Diabetes.
B) Minimal change disease.
C) Amyloidosis.
D) Systemic lupus erythematosus.
E) All of the above.
Answer And Discussion:
The correct answer is “E.” All of the above can be a cause of nephrotic syndrome. Remember that many causes of nephrotic syndrome can present initially with nephritic urine.
Causes of nephrotic syndrome are summarized below:
- Diabetes
- Amyloidosis
- Systemic lupus erythematosus
- Minimal change disease (“Nil” disease)
- Diffuse glomerulonephritis
- Membranous nephropathy
- IgA nephropathy
- Postinfectious glomerulonephritis (e.g.,poststreptococcal GN)
- Membranoproliferative glomerulonephritis
- Various neoplastic diseases (lymphoma, multiple myeloma, lung cancer, etc.)
- Preeclampsia
- Familial kidney disease (Alport disease, Fabre disease)
- Focal and segmental glomerulosclerosis
- Medications (NSAIDs)
- Miscellaneous
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