Keeping nephrotic syndrome on the emergency department edema differential: A case report

作     者：Joshua Goodwin Bijon Das 

作者机构：Department of Emergency Medicine Dalhousie University Faculty of Medicine 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2019年第10卷第2期

页      面：116-118页

核心收录：

学科分类：10[医学] 

主　　题：Dear editor Nephrotic syndrome peripheral edema 

摘      要：Dear editor,Nephrotic syndrome is defined by the presence of peripheral edema,heavy proteinuria(greater than 3.5 g/24h),and hypoalbuminemia(less than 3 g/dL).^[1]Nephrotic syndrome is relatively rare,with an incidence of 3 new patients per 100,000 per year in adults.^[1]Despite being a known cause for new onset edema in patients at any age,nephrotic syndrome is often neglected in considering differential diagnoses for this presentation in primary care settings,and initial workups often focus on ruling out cardiac and hepatic causes of edema.^[1-3]In this case report,we describe a 25-year-old male patient who presented to the emergency department(ED)complaining of a 10-day history of *** was later diagnosed with nephrotic syndrome secondary to minimal change *** case served as a reminder to include the differential diagnosis of nephrotic syndrome early in the workup of an adult with peripheral edema presenting to the ED.