What are the diseases that can cause symptoms of proteinuria?
(A) acute glomerulonephritis Streptococcal infection, the immune complex caused by acute glomerulonephritis, the incubation period of 1 to 2 weeks, an average of 10 d onset, upper respiratory tract infection after the incubation period of 6...
(A) acute glomerulonephritis
Streptococcal infection, the immune complex caused by acute glomerulonephritis, the incubation period of 1 to 2 weeks, an average of 10 d onset, upper respiratory tract infection after the incubation period of 6 ~ 12d, skin infection latency 14 ~ 24d, also acute infection symptoms or Disappeared after edema, high blood pressure, hematuria, proteinuria and tubular urine. 24h urine protein quantitative l ~ 3 g. Blood total complement and complement C3 decreased, renal imaging examination increased kidney, edema from the eyelid began, after the development from the face to the body. Short course of disease, the vast majority can be cured (about 90%) is different from chronic glomerulonephritis.
(B) chronic glomerulonephritis
Clinical sub-general type, hypertension, nephropathy, chronic nephritis acute onset. Its clinical manifestations and acute nephritis similar to the difference is that streptococcus infection after the incubation period is short, usually within a week, the shortest 5 d. Edema from the lower limbs began to spread from the bottom up, long duration, easy to relapse, late often have renal damage to the earliest emergence of high blood pressure. Fundus examination arterial thinning, reflex enhancement, fundus hemorrhage, exudation and acute nephrotic fundus arterial spasm different. Imaging examination of renal shrinkage.
Is the infection of the disease, systemic infection symptoms of poisoning, low back pain, bladder irritation symptoms, laboratory tests for urinary urinary incontinence is its characteristics. 24h urinary protein quantitative generally within 1g, rarely more than 2g. Generally no edema, blood pressure is not high, only chronic renal function of nephritis renal damage, only the performance of edema, high blood pressure.
(D) systemic lupus erythematosus
Belong to autoimmune diseases, hair loss, facial butterfly erythema, oral ulcers, migratory arthritis, light allergy, Renault phenomenon, more organ damage especially heart J, kidney meridian system most common, which accounted for kidney damage One. Its proteinuria are generally more, some patients with nephrotic syndrome form. Laboratory tests: autoantibody positive, total complement and complement C3 decreased, about l / 3 cases of blood can be found in lupus cells. Skin biopsy dermal degeneration atrophy.
(E) multiple myeloma
Old men are good hair, anemia and kidney damage is not commensurate. Rapid progression of the disease, easy to damage renal function, bone destruction, bone pain, pathological fracture. Liver, splenomegaly, bone marrow examination of a large number of myeloma cells can be diagnosed. Its urine protein is spilled proteinuria. This week the urine protein positive.
Strenuous exercise of micro-proteinuria, fever, proteinuria, heart failure caused by protein congestion, proteinuria caused by protein poisoning, due to a clear medical history and the corresponding physical examination, the general diagnosis is not difficult.
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