Description

An obese patient may develop a nephropathy that may become mixed with other types.


Clinical features:

(1) The patient is obese.

(2) The patient may show a glomerulopathy with hyperfiltration and proteinuria (albuminuria).

(3) There may be a decrease in GFR to < 60 mL per min per 1.73 square meter

(4) The nephropathy improves after starting an appropriate diet with weight loss and/or bariatric surgery.

 

Other conditions that may be present:

(1) diabetic nephropathy

(2) urate nephropathy

(3) drug-induced nephropathy

(4) hypertensive nephropathy


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