BENIGN TRANSIENT PROTEINURIA
 
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BENIGN TRANSIENT PROTEINURIA

 

DEFINITION:

A benign asymptomatic form of proteinuria where the protein clears upon removal of the precipitating factor.

EPIDEMIOLOGY:

  • incidence: ?
  • age of onset:
    • ?
  • risk factors:
    • see below

PATHOGENESIS:

1. Background

  • precipitating factors: high fever (>38.3 C), strenuous exercise, exposure to cold, emotional stress, CHF, essential hypertension, dehydration, seizures, abdominal surgery, epinephrine infusion, blood transfusion

CLINICAL FEATURES:

1. Renal Manifestations

1. Proteinuria

  • asymptomatic
  • never associated with edema

INVESTIGATIONS:

1. Urinalysis

  • proteinuria - rarely greater than 2+

2. Serum

  • normal

3. Renal Biopsy

  • normal

MANAGEMENT:

1. Supportive

  • repeat urinalysis every month for 6 months

2. Prognosis

  • excellent
  • no underlying renal disease or complications

 

 

 

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