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Nephrotic Syndrome

A clinical syndrome characterized by heavy urinary protein loss.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Dahiliye (İç Hastalıkları) department. Book Appointment →

What is Nephrotic Syndrome?

Nephrotic syndrome is a clinical syndrome defined by impaired glomerular filtration barrier with proteinuria greater than 3.5 grams per day, hypoalbuminemia, generalized edema and hyperlipidemia. It is not a single disease but a common presentation of many glomerular disorders.

In adults the most common causes are membranous nephropathy, focal segmental glomerulosclerosis (FSGS) and minimal change disease. Systemic diseases such as diabetes and amyloidosis can also cause nephrotic syndrome.

Complications include thromboembolic events (deep vein thrombosis, pulmonary embolism), infections (due to loss of IgG) and acute kidney injury. Treatment is directed at the underlying cause.

Symptoms

Generalized edema (periorbital, lower extremities, abdomen)
Foamy urine (proteinuria)
Weight gain (fluid retention)
Fatigue and loss of appetite
Abdominal distension (ascites)

Risk Factors

Diabetic nephropathy
Systemic lupus erythematosus
Amyloidosis
Certain infections (hepatitis B, hepatitis C, HIV)
Some medications (NSAIDs, gold, penicillamine)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Marked swelling around the eyes and legs
  • Persistently foamy urine
  • Unexplained rapid weight gain
  • Shortness of breath or leg pain and swelling (suggesting thrombosis)

Treatment Methods

01
Treatment of the underlying cause (immunosuppressants and similar agents)
02
ACE inhibitors or ARBs (to reduce proteinuria)
03
Diuretics (for edema control)
04
Salt-restricted diet
05
Anticoagulant therapy (when thrombosis risk is high)
06
Statin therapy (for hyperlipidemia)

Which Department to Visit?

You can visit our Dahiliye (İç Hastalıkları) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Dahiliye (İç Hastalıkları) Department

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You can make an appointment with our specialists or contact us for your concerns.

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Nephrotic Syndrome

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Nephrotic syndrome is defined by proteinuria over 3.5 g/day with hypoalbuminemia, edema, and hyperlipidemia; underlying causes range from primary glomerular disease to systemic illnesses, each with distinct treatment.

Anaemia

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Anaemia is a low haemoglobin level that reduces oxygen delivery, causing fatigue, pallor, and shortness of breath. It is not a disease itself but a sign of many underlying conditions. Most cases are correctable with appropriate diagnosis and treatment.

Iron Deficiency Anaemia

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Iron deficiency anaemia develops when dietary intake, absorption, or losses create an iron shortfall, most often affecting women and children. Identifying the underlying cause is the core of management, alongside iron replacement.

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Vitamin B12 deficiency can cause megaloblastic anaemia, neurological symptoms, and cognitive impairment. Early treatment with intramuscular or oral B12 largely prevents irreversible complications.

Hypertension (High Blood Pressure) Management

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Hypertension is often called the silent killer because it progresses symptom-free for years and can damage the heart, brain, kidneys, and eyes. Regular monitoring, lifestyle change, and evidence-based drug therapy dramatically reduce cardiovascular risk.

Chronic Kidney Disease

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Chronic kidney disease is one of the most common complications of chronic conditions such as diabetes and hypertension, and can be silent in its early stages.

Hepatitis B (HBV)

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Hepatitis B is a DNA virus infection causing acute and chronic hepatitis with risk of cirrhosis and hepatocellular carcinoma; diagnosis integrates HBsAg, HBeAg, anti-HBc, and HBV DNA with management based on disease phase using nucleos(t)ide analogues (entecavir, tenofovir) and universal infant vaccination.

Hepatitis C (HCV)

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Hepatitis C is an RNA virus causing chronic hepatitis that may progress to cirrhosis and hepatocellular carcinoma; modern direct-acting antiviral (DAA) pangenotypic regimens (sofosbuvir/velpatasvir, glecaprevir/pibrentasvir) achieve sustained virologic response over 95% in 8–12 weeks with universal adult screening and cure for nearly all patients.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.