Patient's Query
Hello doctor,
I am a 57-year-old female with diabetes and high blood pressure. I have experienced protein loss in urine, confirmed by a 24-hour urine test which showed a result of 1368 mg/24hrs. I have also undergone a retinal checkup, abdominal scanning, and an ECG, and the results are good. Additionally, I have noticed skin blisters developing over the last two years.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I understand your concern.
According to your history, you had skin blisters for which a dermatologist treated you. Please answer a few questions so I can guide you better:
Now, regarding the reports you attached (attachments removed to protect the patient’s identity), you have significant protein excretion in urine. This is called nephrotic range proteinuria. To be more precise, it would be better to conduct a few more blood and urine tests to confirm what we are dealing with. If there is a substantial loss of protein in urine, you may experience a lot of issues. I would like to start you on a medication now, but please begin taking it after the blood and urine tests are completed.
If the diagnosis is membranous nephropathy, you will be started on tablets for three months, and we will monitor your response. If there is no improvement, a stronger dose of medications will be considered. The diagnosis will be confirmed through a kidney biopsy if proteinuria exceeds 0.105 ounces. Following blood and urine tests, you will start Losartan 50mg once daily.
I hope you find this information helpful.
Thank you.
The Probable causes
Investigations to be done
Regarding follow up
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Answered byDr. Karthic Kumar
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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