Nephrotic syndrome happens when the kidneys let protein leak into the urine. When this happens, there is not enough protein in the blood. Low protein in the blood allows fluid to leak out of the blood stream and into body tissues.
Nephrotic syndrome is a collection of the following signs:
Nephrotic syndrome is not a disease itself. It is a set of signs and symptoms that indicate that another disease has damaged the kidneys, and that they are no longer working properly.
Nephrotic syndrome is caused by damage to tiny filters in the kidneys, called glomeruli. The glomeruli filter waste and excess water from the blood. This forms urine, which reaches the bladder via the ureters. Diseases that damage the glomeruli cause nephrotic syndrome.
Diseases that may lead to nephrotic syndrome include:
Tell your doctor if you have any of the following factors that increase your risk of nephrotic syndrome:
Symptoms may include:
Your doctor will ask about your symptoms and medical history. A physical exam will be done. High blood pressure may indicate kidney damage. A urine test will show if you have too much protein or any blood in your urine. A blood test will show if your blood contains too much cholesterol and not enough protein.
Your bodily fluids and tissues may be tested. This can be done with:
Images may need to be taken of your bodily structures. This can be done with:
If your doctor suspects nephrotic syndrome, you may be referred to a kidney specialist.
Treatment depends on what is causing the nephrotic syndrome. Some cases are treatable with medicine, while others lead to kidney failure despite treatment. The underlying cause will be treated, if possible. Steps will be taken to:
Most conditions that lead to nephrotic syndrome cannot be prevented. However, the risk of type 2 diabetes may be reduced through exercise and weight control.
American Kidney Fund
National Kidney Foundation
The Kidney Foundation of Canada
Nephrotic syndrome. National Kidney Foundation website. Available at: http://www.kidney.org/atoz/content/nephrotic.cfm. Accessed July 12, 2013.
Nephrotic syndrome in adults. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 28, 2012. Accessed July 12, 2013.
Nephrotic syndrome in adults. National Kidney and Urologic Disease Information Clearinghouse website. Available at: http://kidney.niddk.nih.gov/kudiseases/pubs/nephrotic/index.htm. Updated April 19, 2012. Accessed July 12, 2013.
Last reviewed May 2014 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.