Exertional proteinuria refers to proteinuria that occurs only after vigorous exercise or exertion. This is a benign condition that reverts after rest.
Persons likely to report exertional proteinuria:
(1) soldiers
(2) athletes
(3) physical laborers
Features:
(1) minimal to moderate proteinuria (usually < 1.5 grams per 24 hours)
(2) A history of strenuous exercise immediately before urine specimen collection.
(3) A urine specimen collected after an adequate rest interval shows no or trace urine proteins.
(4) There is no other condition that can better explain the findings.
It is important to recognize the condition so that the patient is not subjected to unnecessary testing. This is especially true for the diabetic athlete.
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