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2008, Número 3

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Residente 2008; 3 (3)


Síndrome nefrótico

Hernández-Ordóñez SO

Idioma: Español
Referencias bibliográficas: 25
Paginas: 90-96
Archivo PDF: 170.76 Kb.


RESUMEN

De los síndromes glomerulares, el nefrótico tiende a ser el más frecuente y en la población adulta la nefropatía diabética es con mucho la principal causa. En la población no diabética, las glomerulopatías primarias como enfermedad de cambios mínimos, nefropatía por IgA, glomerulopatía membranosa o glomeruloesclerosis focal o segmentaria, son responsables, en la mayoría de los casos, de síndrome nefrótico y su frecuencia varía de acuerdo al grupo etario. En la mayoría de los casos de síndrome nefrótico, el abordaje diagnóstico concluye con la realización de biopsia renal. El tratamiento en parte es sintomático y va dirigido a contrarrestar no sólo el edema y la proteinuria sino también las alteraciones metabólicas asociadas como la dislipidemia procurando, siempre que sea posible, corregir la causa desencadenante mediante el tratamiento específico.


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