N04.9
DESCRIPTION
Glomerular disease characterised by:
- severe proteinuria defined as:
- children: ≥ 3 + proteinuria on dipstick test, or urine protein: creatinine ratio (PCR) ≥ 0.2 g/mmol on spot urine sample
- adults: ≥ 2.5 g/day, as determined by a spot urine protein measurement, i.e. PCR > 0.25 g/mmol
- and resultant ‘classic’ clinical picture (not always present) which includes:
- oedema
- hypoalbuminaemia
- hyperlipidaemia
Accurate diagnosis requires a renal biopsy.
MEDICINE TREATMENT
The management of glomerular disease depends on the type/cause of the disease and is individualised, guided by a specialist according to the biopsy result.
REFERRAL
All cases.