What causes a high albumin-to-creatinine ratio?

Question

Hello doctor,

I am sharing my urine report here. The results show albumin: 3.35 g/dL and creatinine: 2.85 mg/dL. Could you please calculate the albumin-to-creatinine ratio (ACR) and let me know what it indicates?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Regarding your concern, the albumin-to-creatinine ratio (ACR) is approximately 1,175,439 mg/g, which is extremely high. Interpretation of ACR levels:

Normal: <30 mg/g.
Microalbuminuria: 30–300 mg/g (early kidney damage).
Macroalbuminuria: >300 mg/g (significant kidney disease).
Severe Proteinuria: >1000 mg/g (suggestive of nephrotic-range proteinuria).

Based on your results, the ACR indicates severe proteinuria, which may be due to nephrotic syndrome, advanced kidney disease, or other serious renal conditions. It is essential to consult a nephrologist for further evaluation and appropriate management.

If you have any further concerns or questions, feel free to reach out. You can schedule a direct appointment or follow up via chat, phone, or video consultation.

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