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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does protein in urine test of a child indicate?

my 3 year old son urine examination shows protein 4+ rbc 100hpf c3 122mg/dl , c4 26mg/dl , ana negative , aslo 28 IU/MG , crp .2 mg , serum cr. 25mg/100 ml , serum urea .4 mg/100ml on 7.8.2009 Naphrologist prescribed him pangraf 5mg thrice a day , omnacortil 10mg OD . Now his urine examination shows protein - FT RBC NIL , Dr. D.K. Agrawal of Indrapratha Apollo has advised biopsy of kidney IM and IF . what is your view ? some naphrologist do not agree with kidney biopsy ? what is your view , which is the cheapest and best center for paediatric naphrology around my district allahabad , uttar pradesh. what is the kidney function of patient ? is the kidney function is normal or will create any complication in near fututre ??
Thu, 30 Jul 2020
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Pediatrician 's  Response
Hi,

What was the serum cholesterol and serum albumin reports? What is his blood pressure? This seems like a case of nephrotic syndrome with nephritic features (as urine contains some blood also). Such cases are better evaluated with biopsy, especially when we are starting drugs like Pangraf. But nephrologists vary among their practice. Kidney function is normal now, but we have to monitor frequently, as there is chance of hypertension and renal insufficiency.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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What does protein in urine test of a child indicate?

Hi, What was the serum cholesterol and serum albumin reports? What is his blood pressure? This seems like a case of nephrotic syndrome with nephritic features (as urine contains some blood also). Such cases are better evaluated with biopsy, especially when we are starting drugs like Pangraf. But nephrologists vary among their practice. Kidney function is normal now, but we have to monitor frequently, as there is chance of hypertension and renal insufficiency. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician