RT Book, Section
A1 Kwon, Charles Y.
A1 Matar, Raed Bou
A1 Janjua, Halima S.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114872818
T1 Nephrotic Syndrome
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114872818
RD 2024/10/07
AB A  3-year-old  boy  has  had  intermittent  facial  swelling  for  the  past  3  weeks.  Symptoms  were  self-limited  and  attributed  to  seasonal  allergies.  He  awoke  with  significant  periorbital  and  facial  edema  (Figure  67-1),  and  pitting  edema  to  his  mid-tibia  bilaterally.  He  denies  any  abdominal  pain,  headache,  rash,  or  gross  hematuria.  His  evaluation  reveals  a  normal  blood  pressure,  normal  renal  function,  and  4+  protein  on  a  urine  dipstick.  He  was  presumptively  diagnosed  with  minimal  change  disease  and  started  on  a  course  of  prednisone.  His  edema  gradually  subsided  (Figure  67-2)  and  his  proteinuria  resolved  within  the  first  two  weeks  of  therapy.