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Syncope as initial symptom for nephrotic syndrome: a case report.

Xuemei Wu1, Guangliang Wang2, Jiachun Feng1

  • 1Department of Pediatric Neurology, First Affiliated Hospital of Jilin University Changchun 130000, Jilin Province, P. R. China.

International Journal of Clinical and Experimental Medicine
|December 3, 2015
PubMed
Summary
This summary is machine-generated.

Syncope, or fainting, can rarely signal nephrotic syndrome in children. This case highlights the importance of considering this rare presentation in pediatric patients with recurrent syncope.

Keywords:
Syncopeblood lipidnephrotic syndromeplasma protein

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Area of Science:

  • Pediatric Nephrology
  • Pediatric Cardiology

Background:

  • Syncope and nephrotic syndrome are common pediatric conditions but rarely present together.
  • Syncope as an initial symptom of nephrotic syndrome is an uncommon pediatric presentation.

Observation:

  • A 3-year-old boy experienced recurrent syncope episodes, particularly after fluid loss or inadequate intake.
  • Edema and laboratory findings of low plasma proteins and high lipids suggested nephrotic syndrome.

Findings:

  • The patient was diagnosed with nephrotic syndrome, though histopathological confirmation was not obtained.
  • Syncope episodes were linked to fluid imbalance and potentially reduced circulation.

Implications:

  • This case underscores the need to investigate nephrotic syndrome in children presenting with unexplained syncope.
  • Early management of fluid balance and glucocorticoids is crucial for both syncope and nephrotic syndrome progression.