Factors affecting the prognosis of nephrotic syndrome

According to the authority of the survey data show that the prognosis of nephrotic syndrome
factors are the following:

(1) age in children with primary nephrotic syndrome
, minimal disease accounted for about 80%, while more than 30 years old accounted for only 29% of adults. Because the prognosis of this type of nephrotic syndrome
is good, so 54% of children with nephrotic syndrome
can be completely relieved, only 21% of adults can be completely relieved. But for children, the younger the age of onset, the higher the mortality rate.

(2) hematuria is not obvious nephrotic syndrome
, pathology mostly micro-disease or mild mesangial proliferative glomerulonephritis, the prognosis is better. Significant hematuria in patients with nephrotic syndrome
prognosis is not good.

Factors affecting the prognosis of nephrotic syndrome


(3) proteinuria selective proteinuria light, the prognosis is good, non-selective proteinuria poor prognosis. If the early severe proteinuria, renal failure earlier, poor prognosis.

(4) the beginning of treatment time early diagnosis, early treatment, the prognosis is relatively good. Adult nephrotic syndrome
more than 6 months after onset began to use corticosteroid therapy poor prognosis.

(5) the time of edema statistics show that adult nephrotic syndrome
in the first occurrence of edema after the first 3-4 years, the largest number of end-stage renal failure.

(6) response to hormones Nephrotic syndromepatients at the beginning of corticosteroid treatment of poor response, suggesting that treatment difficulties, poor prognosis.

Secondary nephrotic syndrome, systemic lupus erythematosus prognosis is poor; diabetic nephrotic syndrome prognosis is not good; by drugs, animal and plant allergies, pregnancy and other causes of nephrotic syndrome, when the cause can be self-healing, Course is generally not long.