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Swollen Eyes 

Swollen Eyes
Swollen Eyes
Acute Care Casebook

Jeff Meyer


This case demonstrates a typical presentation of nephrotic syndrome. Most often occurring in patients ages 2 to 6 years of age, nephrotic syndrome is characterized by edema, and urinalysis will reveal substantial proteinuria. Minimal change disease is the most common underlying etiology of nephrotic syndrome, and remission can usually be achieved by treatment with corticosteroids. Key management points include recognizing the clinical presentation of nephrotic syndrome; correct diagnosis by urinalysis where nephrotic-range proteinuria is present and hypertension, gross hematuria, and renal insufficiency are absent; and initiation of appropriate corticosteroid therapy, which in most cases leads to remission, though recurrence is possible..

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