Skip to main content

Proteinuria, Pediatric

Stephanie Nguyen, MD, MAS Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Protein may be found in the urine of healthy children.

  • The term proteinuria is used to indicate urinary protein excretion beyond the upper limit of normal (100 mg/m2/24 h or 4 mg/m2/h...

DIAGNOSIS

The American Academy of Pediatrics (AAP) no longer recommends screening urinalysis for asymptomatic children due to high false-positive rate, low cost-effectiveness, and lack of treatable di...

TREATMENT

GENERAL MEASURES

  • Treatment is based on the etiology of the persistent proteinuria.

  • In general, patients with chronic kidney disease and/or glomerulopathies should be treated with angiotensin-c...

ONGOING CARE

PROGNOSIS

  • Prognosis and follow-up is based on the etiology of the persistent proteinuria.

  • Transient proteinuria resolves when the associated factor also resolves.

  • Orthostatic proteinuria ten...

ADDITIONAL READING

  • Gipson DS, Massengill SF, Yao L, et al. Management of childhood onset nephrotic syndrome. Pediatrics.  2009;124(2):747–757. [View Abstract on OvidInsights]

  • Hogg RJ, Portman RJ, ...

CODES

ICD9

  • 791.0 Proteinuria

  • 593.6 Postural proteinuria

ICD10

  • R80.9 Proteinuria, unspecified

  • R80.2 Orthostatic proteinuria, unspecified

  • R80.1 Persistent proteinuria, unspecified

  • R80.8 Other proteinuria

SNOMED

  • ...

FAQ

  • Q: When to refer to nephrology?

  • A: Patients with one of the following: fixed proteinuria; proteinuria with hypertension, hematuria, or abnormal renal function; and patient with family history of re...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×