Zpěněná moč

DOLEŽEL, Zdeněk, Jan PAPEŽ and Dana DOSTÁLKOVÁ. Zpěněná moč (Foamy urine). Pediatrie pro praxi. Olomouc: Solen, 2016, vol. 17, No 2, p. 104. ISSN 1213-0494.

Basic information

• Original name: Zpěněná moč
• Name (in English): Foamy urine
• Authors: DOLEŽEL, Zdeněk, Jan PAPEŽ and Dana DOSTÁLKOVÁ.
• Edition: Pediatrie pro praxi, Olomouc, Solen, 2016, 1213-0494.

Other information

• Original language: Czech
• Type of outcome: Article in a journal
• Field of Study: 30209 Paediatrics
• Country of publisher: Czech Republic
• Confidentiality degree: is not subject to a state or trade secret
• Organization unit: Faculty of Medicine
• Keywords in English: foamy urine; proteinuria; nephropathy
• Tags: EL OK
• Tags: International impact, Reviewed

Abstract

U 9letého chlapce došlo bez zřetelné vyvolávající příčiny k manifestaci otoků, které byly dominantně vyjádřeny periorbitálně a na dolních končetinách (dorzum nohou, bérce), dále byl prokázán ascites, edém genitálu nebyl přítomen. Klinická symptomatologie ve spojení s abnormálními výsledky laboratorních vyšetření (hypalbuminémie 21 g/l, hypercholeste-rolémie 8,3 mmol/l, proteinurie 2 860 mg/24 h) umožnily stanovit diagnózu primárního nefrotického syndromu (NS).

Abstract (in English)

A 9-year-old boy was referred with generalized edema (incl. periorbital, lower extremities and ascites). Abnormal laboratory values are: hypalbuminemia [21 g/1], hypercholesterolemia [8.3 mmol/1 ] and proteinuria [2860 mg/24hrs]. A diagnose of idiopathic nephrotic syndrome/minimal change nephrotic syndrome (MCNS) was established and therapy was started with corticosteroids. Remission of MCNS was achieved after 12 weeks of treatment. For four months the boy's mother noticed that his urine was foamy in toilet (dipstick urinalysis showed proteinuria 3+). Boy's urine was foamy after urinating directly into beaker at 3 and 10 minutes (proteinuria was 3560 mg/24hrs). The condition was assessed as a relaps of MCNS and corticosteroids therapy was intitiated. Three weeks later was achieved remission and foamy urine disappeared. Protein in urine makes the urine foamy as it lowers the surface tension..However, most pediatric patients incl. their parents, do not recognize foamy urine. It is more easily identified by patients/their parents that have previous experience with nephrotic syndrome.