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Enfermedad con cambios mínimos - Symptom

Nombres alternativos

Síndrome nefrótico con cambio mínimo; Enfermedad de Nil; Nefrosis lipoide; Síndrome nefrótico idiopático de la niñez

Síntomas:

Puede haber síntomas de síndrome nefrótico:

Orina con apariencia espumosa
Inapetencia
Hinchazón, especialmente alrededor de los ojos, en pies y tobillos y en el abdomen
Aumento de peso (por retención de líquido)

La enfermedad con cambios mínimos no reduce la cantidad de orina producida y rara vez progresa a insuficiencia renal.

Signos y exámenes:

Es posible que el médico no vea ningún signo exterior obvio, excepto por la hinchazón. Los exámenes de orina y sangre revelan signos típicos del síndrome nefrótico, incluyendo:

Colesterol alto
Niveles altos de proteína en la orina
Bajos niveles de albúmina en la sangre

Una biopsia renal y el análisis del tejido con un microscopio electrónico pueden mostrar signos de la enfermedad con cambios mínimos. Si se realiza un examen de la biopsia de tejido renal por inmunofluorescencia, el resultado da negativo.

Sistema urinario masculino

Reviewed last on: 11/30/2009
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Herbert Y. Lin, MD, PHD, Nephrologist, Massachusetts General Hospital; Associate Professor of Medicine, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Appel GB. Glomerular disorders and nephrotic syndromes. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 122.

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