Membranous Nephropathy

Nephrology

Overview

Definition

Common cause of nephrotic syndrome in Caucasian adults.

Epidemiology

Varies globally depending on genetics, environment, or exposure.

Etiology & Risk Factors

  • Primary (Phospholipase A2 receptor antibodies), Secondary (Hep B/C, SLE, Malignancy, NSAIDs).

Clinical Symptoms

  • Edema
  • frothy urine
  • high risk of thromboembolism.

Clinical Approach

Diagnosis

  • Renal biopsy (spike and dome appearance
  • IgG/C3 deposits).

Management

  • Treat underlying cause
  • ACEi
  • Immunosuppressants.

Complications

  • Renal vein thrombosis.