HEALTH NEPHROTIC SYNDROMES FACIES

Abnormal facies :
Nephrotic syndrome facies :
Notice the periorbital edema , puffy pale face , lips may be swollen edematous limbs ,scrotal edema in males ,abdominal wall edema and ascites occur in advanced cases .
(2)Massive protennuria : above 3 g proteinuria / day in adults and above 2 g /24 hours in children (levels above 5-10 gm /24 hours may occur .
(3) Hypoproteinemia : serum albumin below 2.5 gm/dl
(4) Hypercholestrolemia : Serum cholestrol level above 300 mg/dl