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Diagnosed as nephrotic syndrome, urine albumin nil, hypertension with lower limb muscle weakness. Prednisolone recommended? pt are 12 yr old diagnosed as nephrotic syndrome at the age of 8 yr...taken 1 month steroid document not october child presented to us with 2nd relapse c3 and ANA was negative,,,,,we give prednisolone ,,,,,daily regime 2mg /kg /day....than dischagre him when 5 day urine albumin become nil....advise him abut tapering of steroids but they didnot follow it and taked daily regime.... now child presented to us with 3rd relapse with hypertension with lower limb proximal muscle weaknes.......could be it FSGN nephrotic syndrome with steroid induced myopathy
Asked On : Mon, 17 Dec 2012
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Orthopaedic Surgeon 's  Response
Thanks for writing to us.
The long term use of steroids can cause a steroid induced myopathy. FSGN nephrotic syndrome is less likely. But it is difficult to conclude any thing without the benefit of a physical examination and proper investigations.
I hope this information has been both informative and helpful for you.
Dr. Praveen Tayal
Answered: Tue, 18 Dec 2012
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