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41. Lipoid Nephrosis » Medical Diagnosis And Advice
Medical Diagnosis Advice » L » lipoid nephrosis 581.3 lipoid nephrosis (seeimages) Want to discuss this term? Visit our forum or our chat room.
http://www.htmdesigner.com/diag/L/medical-diagnosis-terms-Lipoid_nephrosis.phtml
Medical Diagnosis and Advice

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Lipoid nephrosis
Lipoid nephrosis
OVERVIEW:
Nephrosis characterized by edema, albuminuria, changes in lipids and proteins in the blood, accumulation of globules of cholesterol esters in the tubular epithelium of the kidney.
CAUSES:
TREATMENT
MISCELLANEOUS
SYNONYMS:
ICD-9-CM:
581.3 lipoid nephrosis
see images

Want to discuss this term? Visit our forum or our chat room SEE ALSO (Enter the keywords below into our search box or click on the link): Bulimia nervosa
Constipation

Hypokalemia

Renal failure, acute (ARF)

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42. HealthCyberMap: Subject Search (Using ICD-9-CM Codes)
(s) lipoid nephrosis......Resource Title lipoid nephrosis Type/ Category Fact Sheet Language en URILaunch in new window ICD9-CM Subject
http://healthcybermap.semanticweb.org/icd.asp?SearchText=581

43. Untitled Document
a. lipoid nephrosis (minimal change glomerulonephritis) b. hemolytic transfusionreaction c. crush injury with myoglobinuria d. hemorrhagic shock
http://www.uic.edu/depts/mcpt/curriculum/tle10/tle10questions.html
Questions: Acute oliguria may be seen with all of the following except: a. lipoid nephrosis (minimal change glomerulonephritis)
b. hemolytic transfusion reaction
c. crush injury with myoglobinuria
d. hemorrhagic shock
e. bilateral ureteral calculi In a consideration of adult polycystic disease of the kidney, all of the following statements are known to be true except: a. the disease if familial
b. the disease is at times unilateral
c. the disease is generally asymptomatic until early adult and middle life hematuria,
d. hypotension and palpable abdominal masses are frequent clinical findings in symptomatic patients In consideration of the disease, chronic pyelonephritis, all of the following statements are correct except: a. This disease must be considered in the differential diagnosis of any patient with nephrotic syndrome.
b. There is usually dilatation of the pelvis and calces.
c. Patients with this disease may have small contracted kidneys late in the clinical course.

44. Images.MD: View Collection
View Full Size, lipoid nephrosis. Click here for more detail about this image.View Full Size, lipoid nephrosis. Click here for more detail about this image
http://www.images.md/users/explore_chapter.asp?ID=ADK0201-01-02&colID=ADK0201-01

45. Untitled Document
Apparently he did not regard true/lipoid/genuine nephrosis to begin with as apart of the lipoid nephrosis. Arch Intern Med 1926; 38 449468.
http://www.aspn.it/cameroneng.html
Associazione Siciliana per la Prevenzione e la Terapia delle Nefropatie
A.S.P.N.
Lettura del Prof. Cameron
J Stewart Cameron, Jackie Hicks
Renal Unit, Guy's and St Thomas' Hospital
King's College, London UK THE ORIGINS AND DEVELOPMENT OF THE CONCEPT OF A "NEPHROTIC SYNDROME"
Dropsy, and early descriptions of proteinuria and renal alterations associated with it The cardinal symptom of the nephrotic sydrome is edema, (anasarca, dropsy).
During the sixteenth to the mid-eighteenth century the general view was that"dropsy" was a disorder per se, one of the many types of swellings, local and general: physicians did not ask themselves what the "cause" of a dropsy might be; the patient "had" a dropsy. Thus when Samuel Johnson died dropsical in 1784 there was no speculation as to its "origin", and the fact that his kidneys were grossly diseased was noted only incidentally at the post mortem. This contemporary attitude to dropsy makes the observations of the early paediatrician Theodor Zwinger (1658-1724) of Basel, Switzerland in 1722 all the more remarkable, in that he unequivocally attributed the condition to disease in the renal tubules [1,2] since in paediatric practice, liver and heart disease would rarely have been present as causes of generalised edema.

46. Contribution Of Paul Govaerts (1889-1960) To The Understanding Of Oedema And Pro
Meanwhile, returning to lipoid nephrosis, Gérard and Cordier showed that insalamanders, intraperitoneal injections of highcholesterol sera taken from
http://ndt.oxfordjournals.org/cgi/content/full/17/8/1391
JOURNAL HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author:
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This Article Extract FREE Full Text (PDF) Alert me when this article is cited ... Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed ... Request Permissions PubMed PubMed Citation Articles by Toussaint, C. Nephrol Dial Transplant (2002) 17: 1391-1395
European Renal Association-European Dialysis and Transplant Association

Historical Note
The essential role of physiological knowledge in clinical medicine Charles Toussaint P AUL G OVAERTS Introduction Twenty-nine years ago there arrived in the small and improvised laboratory of Dana Atchley at the old Presbyterian Hospital in New York a modest but dynamic Belgian scientist and clinician armed with an inquiring mind and a small osmometer. This was Paul Govaerts. A ce moment Ce fut pour moi une lecture presque bouleversante. Le livre d'explications nouvelles qui permettaient de regarder chaque Those two quotations constitute a good introduction to the description of Paul Govaerts himself (Figure 1 ) and of the outstanding contributions he made to the understanding of oedema and of proteinuria. Actually

47. Does Vascular Endothelial Growth Factor (VEGF) Play A Role In The Pathogenesis O
and interleukin 13 synergize to inhibit vascular permeability factor releaseby peripheral blood mononuclear cells from patients with lipoid nephrosis.
http://ndt.oxfordjournals.org/cgi/content/full/18/11/2293
JOURNAL HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author:
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This Article Abstract FREE Full Text (PDF) Alert me when this article is cited ... Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed ... Request Permissions PubMed PubMed Citation Articles by Boner, G. Articles by Gilbert, R. E. Nephrol Dial Transplant (2003) 18: 2293-2299
European Renal Association-European Dialysis and Transplant Association

Original Article
Does vascular endothelial growth factor (VEGF) play a role in the pathogenesis of minimal change disease?
Geoffrey Boner Alison J. Cox Darren J. Kelly Ana Tobar Robyn G. Langham Mark E. Cooper and Richard E. Gilbert Baker Medical Research Institute, St Kilda Central, Melbourne, Institute of Hypertension and Kidney Diseases and Department of Pathology, Rabin Medical Center, Beilinson Campus, Petah Tikva, Department of Pathology, Sapir Medical Center, Kfar Saba and

48. T Cells And Minimal Change Disease -- Cunard And Kelly 13 (5): 1409 -- Journal O
Almost 30 yr ago, RJ Shalhoub (2) proposed that lipoid nephrosis, 1263–1349;Shalhoub RJ Pathogenesis of lipoid nephrosis A disorder of Tcell
http://www.jasn.org/cgi/content/full/13/5/1409
HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author:
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This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted ... Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Cited by other online articles PubMed PubMed Citation Articles by Cunard, R. Articles by Kelly, C. J. J Am Soc Nephrol 13:1409-1411, 2002
American Society of Nephrology
EDITORIALS
T Cells and Minimal Change Disease
Robyn Cunard and Carolyn J. Kelly Research Service, VA San Diego Healthcare System; and Department of Medicine, University of California, San Diego, California. Correspondence to Carolyn J. Kelly, ACOS for Research, 151, 3350 La Jolla Village Drive, San Diego, CA 92161. Phone: 858-552-8585 ext. 7015; Fax: 858-642-6243; E-mail: It is one of the ironies of medical practice that as physicians we can competently and confidently treat diseases of whose pathogenesis we remain woefully ignorant.

49. Th1 And Th2 Cytokine MRNA Profiles In Childhood Nephrotic Syndrome: Evidence For
lymphocyte dysfunction in lipoid nephrosis mediated by suppressor cells. K Concanavalin Ainduced suppressor cell activity in lipoid nephrosis.
http://www.jasn.org/cgi/content/full/10/3/529
HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author:
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This Article Abstract Full Text (PDF) Alert me when this article is cited ... Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Cited by other online articles PubMed PubMed Citation Articles by YAP, H.-K. Articles by JORDAN, S. C. J Am Soc Nephrol 10:529-537, 1999
American Society of Nephrology
REGULAR ARTICLES
Th1 and Th2 Cytokine mRNA Profiles in Childhood Nephrotic Syndrome
Evidence for Increased IL-13 mRNA Expression inRelapse
HUI-KIM YAP WAI CHEUNG BELINDA MURUGASU SZE-KEEN SIM CHING-CHING SEAH and STANLEY C. JORDAN Department of Pediatrics, National University of Singapore, Singapore
Steven Spielberg Pediatric Research Center, Cedars-Sinai Medical Center, UCLA School of Medicine, Los Angeles, California
Correspondence to Dr. Hui-Kim Yap, Department of Pediatrics, National University of Singapore, Lower Kent Ridge Road, Singapore 119074. Phone: 65 772 4112; Fax: 65 779 7486; E-mail:
Abstract Top
Abstract
Introduction
Materials and Methods
Results Discussion References Abstract . Idiopathic nephrotic syndrome of childhood is thought to be associated with T lymphocyte dysfunction often triggered by viral infections, with the production of circulating factor(s)

50. NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS
581.3 With lesion of minimal change glomerulonephritis. Foot process diseaselipoid nephrosis Minimal change glomerular disease glomerulitis
http://www.thera.info/icd9-cm/sect-580-589.html
NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS (580-589)
Acute glomerulonephritis
Nephrotic syndrome

Chronic glomerulonephritis

Nephritis and nephropathy, not specified as acute or chronic
...
Small kidney of unknown cause

Excludes: hypertensive renal disease (403.00-403.91)
580 Acute glomerulonephritis
Includes: acute nephritis
580.0 With lesion of proliferative glomerulonephritis
Acute (diffuse) proliferative glomerulonephritis
Acute poststreptococcal glomerulonephritis
580.4 With lesion of rapidly progressive glomerulonephritis
Acute nephritis with lesion of necrotizing glomerulitis
580.8 With other specified pathological lesion in kidney
580.81 Acute glomerulonephritis in diseases classified elsewhere
Code first underlying disease, as:
infectious hepatitis (070.0-070.9)
mumps (072.79)
subacute bacterial endocarditis (421.0) typhoid fever (002.0) 580.89 Other Glomerulonephritis, acute, with lesion of: exudative nephritis interstitial (diffuse) (focal) nephritis
580.9 Acute glomerulonephritis with unspecified pathological lesion in kidney
Glomerulonephritis: specified as acute NOS specified as acute hemorrhagic specified as acute Nephritis specified as acute Nephropathy specified as acute
581 Nephrotic syndrome
581.0 With lesion of proliferative glomerulonephritis

51. Nph - Nephrosis
Among GN patients, the ones presenting membranous GN (MGN), IgA disease, andlipoid nephrosis associated with segmental and focal hyalinosis (FGS) showed
http://www.pdg.cnb.uam.es/UniPub/iHOP/gg/123189.html
In puromycin aminonucleoside nephrosis was dramatically increased in glomeruli where enhanced desmin expression was observed in GECs. Abstract-1452785
Glomerular overproduction of oxygen radicals in gene- inactivated mice causes podocyte foot process flattening and proteinuria : A model of steroid-resistant nephrosis sensitive to radical scavenger therapy. Abstract-1857868
A severe nephrosis in heartwater-infected Angora goats, treated after the first day of the febrile reaction, is described. Abstract-5680051
A/J and BALB/c were highly susceptible to the nephrosis while C57BL/6J, DBA-2 and B10D2/o were completely resistant to it. Abstract-7706190
Examining 8 inbred murine strains [A/J, BALB/c, SM/J, C3H/J, SWR/J, C57BL/6J (B6), DBA-2 , B10D2/old (B10D2/o)] for urinary albumin excretion after a single daunomycin (DM) injection (20 mg/kg), we found strain specificity in susceptibility to DM nephrosis Abstract-7706190
IP-10
may participate in the modulation of renal damage in experimental nephrosis Abstract-458019
To further evaluate a possible role for this chemokine in renal injury, we have studied

52. Renal Unit - Case 7 Answers -  Pathology 6000 Laboratory - Department Of Pathol
Since minimal change disease (nil disease, lipoid nephrosis) is the most commoncause of nephrotic syndrome in children, treatment is often tried without
http://www.uchsc.edu/pathology/6000/a-renc7.htm
RENAL UNIT CASE 7 Answers: 1. Nephrotic syndrome. Poor appetite - possible intestinal edema, ascites. Tired and listless - possibly relative hypotension due to fluid shift. Puffy eyes, edema and nocturia-edema collects in dependent areas (high venous pressure) during the day, in areas of loose connective tissue about the eyes when head is lower at night. Recumbent posture allows some mobilization of fluid from legs at night and therefore nocturia. Apparent weight gain is fluid. Review lecture notes on proteinuria and nephrotic syndrome. 2. Clinical information which can help resolve the differential diagnosis of nephrotic syndrome and identify secondary forms: A) History: a. System review to detect involvement of other organ systems.
b. Drug history, exposure to environmental toxins and allergens.
c. Family history of diabetes or renal disease.
d. History of chronic inflammatory disease that could predispose to amyloidosis.* B) Physical examination: a. Masses which might be neoplasms.*

53. Nephrology Terms
lipoid nephrosis minimalchange disease lithium Lithospec™ intracorporeallithotripter - see MT Desk minimal-change disease (MCD) lipoid nephrosis
http://mtdesk.com/lstneph.shtml
NEPHROLOGY TERMS Back to MT DESK Back to Index of Terminology A-M N-Z Back to Word List Index Nephrology Terms
Tc-DMSA
Tc-DTPA
Tc-labeled HAG3 [investigational imaging agent]
Tc-labeled MAG3
Tc-MAG3
access blood flow
access flow measurement
access recirculation (AR)
ACE (angiotensin-converting enzyme)
ACE inhibitor
ACEI (angiotensin-converting enzyme inhibitor) acid-base homeostasis acidification acquired cystic disease [dialysis-associated cystic disease] acquired renal insufficiency Acucise® endopyelotomy [balloon] catheter - Applied Medical Resources Acucise endopyelotomy acute nephritic syndrome acute poststreptococcal glomerulonephritis (ASPGN) acute renal failure (ARF) acute tubular necrosis (ATN) ADPKD (autosomal dominant polycystic kidney disease) adrenal gland adult-onset medullary cystic disease aerobic bacteria air embolism Aksys PHD™ system [investigational hemodialysis system for home use] - see MT Desk glossary entry Alcaligenes xylosoxidans ALG (antilymphocyte globulin) Allen-Brown shunt allergic interstitial nephritis allogenic renal transplant allograft dysfunction AlloMune™ system - see MT Desk glossary entry allopurinol (Zyloprim®) alpha -antitrypsin Alport posttransplant anti-GBM disease Alport syndrome Altra Flux® hemodialyzer - Minntech, Inc.

54. Objectives For Renal Systems Course
Compare lipoid nephrosis (minimal change nephropathy) with membranous glomerulonephritisin the context of. clinical presentation; etiology and
http://medicine.creighton.edu/medschool/m2courseware/renal/renobj.htm
Objectives for Renal and Urinary System Course Revised 11-18-2002
NORMAL RENAL AND UROLOGICAL FUNCTION
    Define and use in context the following:
kidney proximal tubule internal urethral sphincter ureter loops of Henle external urethral sphincter bladder medullary rays mesangial cells urethra vasa recta glomerular endothelial cells renin renal pyramids glomerular epithelial cells erythropoietin renal calyx glomerular mesangial cells nephron juxtaglomerular apparatus collecting ducts glomerulus countercurrent multiplier ducts of Bellini Malpighian corpuscle countercurrent exchange lamellipodia distal tubule transitional epithelium glands of Littre Bowman's capsule lacunae of Morgagni
Anatomy
  • Describe the following regarding the gross anatomy of the kidney, ureters, bladder and urethra
      gross structure relationship to surrounding structures blood supply innervation
    Describe and diagram the nephron with specific reference to site, blood supply and cellular components Identify the fine structural features of the glomerulus and renal tubules and discuss the relationship of these with the processes of filtration, secretion and absorption. Diagram and discuss the histology of:
      ureter bladder urethra
    Describe the fine structural specialization of transitional epithelium and discuss its possible role in facilitating distention of the bladder Identify and distinguish between the component parts of the juxtaglomerular apparatus and discuss their functions Given a histological section of the kidney, ureter, bladder or urethra, identify the tissue, various cellular components and correlate with physiological function

55. ICD-9-CM From Code 580
Foot process disease; lipoid nephrosis; Minimal change. glomerular disease;glomerulitis; nephrotic syndrome. 581.8 With other specified pathological
http://www.dmi.columbia.edu/hripcsak/icd9/1tabular580.html
NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS (580-589)
  • Excludes: hypertensive renal disease (403.00-403.91)
  • 580 Acute glomerulonephritis
    • Includes: acute nephritis
    • 580.0 With lesion of proliferative glomerulonephritis
      • Acute (diffuse) proliferative glomerulonephritis
      • Acute poststreptococcal glomerulonephritis
    • 580.4 With lesion of rapidly progressive glomerulonephritis
      • Acute nephritis with lesion of necrotizing glomerulitis
    • 580.8 With other specified pathological lesion in kidney
      • 580.81 Acute glomerulonephritis in diseases classified elsewhere
        • Code first underlying disease, as:
          • infectious hepatitis (070.0-070.9)
          • mumps (072.79)
          • subacute bacterial endocarditis (421.0)
          • typhoid fever (002.0)
        • 580.89 Other
          • Glomerulonephritis, acute, with lesion of:
            • exudative nephritis
            • interstitial (diffuse) (focal) nephritis
          • 580.9 Acute glomerulonephritis with unspecified pathological lesion in kidney
            • Glomerulonephritis: specified as acute
              • NOS specified as acute
              • hemorrhagic specified as acute
            • Nephritis specified as acute
            • Nephropathy specified as acute
          • 581 Nephrotic syndrome
            • 581.0 With lesion of proliferative glomerulonephritis
  • 56. Renal Pathology
    (2) Minimal Change Disease (lipoid nephrosis) – nonproliferative glomerularedisease – abnormalities in BM Þ most frequent cause of nephrotic syndrome in
    http://members.tripod.com/d3jonline/23-Renal_II/Renal_Pathology.htm
    setAdGroup('67.18.104.18'); var cm_role = "live" var cm_host = "tripod.lycos.com" var cm_taxid = "/memberembedded"
    Search: Lycos Tripod Dukes of Hazzard Share This Page Report Abuse Edit your Site ... Next Renal Pathology Glomerulus Structure
    • dangles off of arteries by afferent arterioles (afferent and efferent arterioles are NOT morphologically distinguishable) blood runs at 50-60 mmHg (high) of pressure provides driving pressure for creating ultrafiltrate glomerular capillary structure is arranged in tufts which are supported by mesangial cells lying between the capillaries
        the mesangial matrix forms a meshwork through which the mesangial cells are scattered these cells, of mesenchymal origin, are contractile, phagocytic, and capable of proliferation, of laying down both matrix and collagen, and of secreting a # of biologically active mediators important players in glomerulonephritis
      cross-section of tuft:
        endothelium contain fenestrae slits allows blood direct access to the glomerular basement membrane epithelium gives rise to podocytes epithelium and endothelium contribute to synthesis of basement membrane which sits in-between
      constituents of glomerular basement membrane restricts on basis of size and charge
        contains type IV collagen , looks like chicken wire restricts molecular size to 36 (i.e. IgG)

    57. Blackwell Synergy - Cookie Absent
    that resembles lipoid nephrosis in its responsiveness to steroid 6. et al An overlapping syndrome of IgA nephropathy and lipoid nephrosis.
    http://www.blackwell-synergy.com/doi/abs/10.1111/j.1523-1755.2005.09426.x
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    58. The American Journal Of The Medical Sciences - Fulltext: Volume 323(2) February
    Progression of lipoid nephrosis to renal insufficiency. N Engl J Med 1969; 2811817. Adult lipoid nephrosis clinicopathologic correlations.
    http://www.amjmedsci.com/pt/re/ajms/fulltext.00000441-200202000-00006.htm
    LWWOnline LOGIN eALERTS REGISTER ... Archive Focal Segmental Glomerulosclerosis... ARTICLE LINKS:
    Abstract
    PDF (58 K) References (24) View full size inline images The American Journal of the Medical Sciences Volume 323(2) February 2002 pp 90-93
    Focal Segmental Glomerulosclerosis in African Americans
    Tucker, J. Kevin MD From the Department of Medicine and Nephrology Research and Training Center, University of Alabama at Birmingham, and Department of Veterans Affairs Medical Center, Birmingham, Alabama. Correspondence: J. Kevin Tucker, M.D., Department of Medicine, Division of Nephrology, University of Alabama at Birmingham, ZRB 624, 1530 3rd Avenue South, Birmingham, AL 35294-0007 (E-mail: jktucker@uab.edu). Article Outline Figures/Tables
    Abstract TOP
    Focal segmental glomerulosclerosis (FSGS), the leading glomerular cause of the nephrotic syndrome among African Americans, is typically associated with edema, proteinuria, hypertension, microscopic hematuria, and renal insufficiency. Recent studies suggest that either the incidence of FSGS has increased or an increased number of biopsies of African American patients have made the diagnosis more common. The collapsing variant of FSGS, which occurs more commonly in African Americans than in whites, carries an especially poor prognosis with respect to renal survival. Although the pathogenesis of FSGS is not well understood, the fact that it frequently recurs early after transplantation has led to speculation that patients with FSGS may have a circulating factor that leads to increased glomerular permeability. There are no randomized control trials of treatment regimens for FSGS. Steroids, alkylating agents, and cyclosporin have all been used with variable results to treat FSGS.

    59. Minimal Change Disease
    Minimal change nephrotic syndrome; Nil disease; lipoid nephrosis; Idiopathicnephrotic syndrome of childhood. Prevention. There is no known prevention.
    http://adam.about.com/encyclopedia/000496prv.htm
    zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zCMt='a00' About Healthcare Center Healthcare Center Essentials ... Surgeries and Procedures zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Allergies Arthritis Asthma Breast Cancer ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); Search Healthcare Center ENCYCLOPEDIA INDEX Injury Disease Nutrition Poison ... Z
    Minimal change disease
    Overview Symptoms Treatment Prevention Alternative Names: Minimal change nephrotic syndrome; Nil disease; Lipoid nephrosis; Idiopathic nephrotic syndrome of childhood Prevention: There is no known prevention.
    Male urinary system
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    60. Minimal Change Disease
    Minimal change nephrotic syndrome; Nil disease; lipoid nephrosis; Idiopathicnephrotic syndrome of childhood. Treatment
    http://adam.about.com/encyclopedia/000496trt.htm
    zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zCMt='a00' About Healthcare Center Healthcare Center Essentials ... Surgeries and Procedures zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Allergies Arthritis Asthma Breast Cancer ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); Search Healthcare Center ENCYCLOPEDIA INDEX Injury Disease Nutrition Poison ... Z
    Minimal change disease
    Overview Symptoms Treatment Prevention Alternative Names: Minimal change nephrotic syndrome; Nil disease; Lipoid nephrosis; Idiopathic nephrotic syndrome of childhood Treatment: Swelling may be treated with diuretics, blood pressure control, and ACE inhibitor medicines. You may receive instructions on how much salt to allow in your diet. Corticosteroids can cure minimal change disease in a vast majority of children. Some patients may require maintenance on steroids to sustain the remission. A minority of children may relapse after they stop taking steroids. If that happens, they usually respond well to a repeat course of the steroids. Adults do not respond to steroids quite as well as children, but a majority still do find steroids effective. The frequency of relapses and steroid dependence may be greater in adults. Frequent relapsers (more than 3 relapses) may need cytotoxic therapy. In most cases, this involves a course of cyclophosphamide. Other medicines that have been used include cyclosporine and chlorambucil.

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