Is proteinuria a rare condition in apparently healthy and sick cats? A feline practice experience (2007-2018)

Maria Cristina López1, Valentina Aybar2, Andrea Zatelli3

  • 1Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Bellaterra, Spain.

Open Veterinary Journal
|November 1, 2021
PubMed

Insights

Proteinuria is common in cats, affecting over half of those studied, and is linked to chronic kidney disease (CKD). Measuring urine protein-to-creatinine (UPC) ratio aids in detecting and managing CKD, even in seemingly healthy cats.

Area of Science:

  • Veterinary Medicine
  • Nephrology
  • Companion Animal Health

Background:

  • Proteinuria is considered less prevalent in felines compared to canines.
  • Proteinuria in cats is primarily linked to chronic kidney disease (CKD).

Purpose of the Study:

  • To evaluate and compare urine protein-to-creatinine (UPC) values in cats.
  • To assess UPC in cats undergoing annual health checks versus those with clinical signs of CKD.

Main Methods:

  • Retrospective evaluation of UPC ratios in 112 owned cats.
  • Categorization of cats into apparently healthy (n=51) and sick (n=61) groups based on clinical signs suggestive of CKD.

Main Results:

  • Over half (54.5%) of all cats exhibited borderline or overt proteinuria (UPC ≥ 0.2).
  • Proteinuria was identified in 35.7% of sick cats and 18.7% of healthy cats.
  • Increased UPC correlated with azotemia and isosthenuria in both groups.

Conclusions:

  • Borderline and overt proteinuria in cats are significantly associated with CKD.
  • UPC measurement is valuable for detecting and managing CKD in cats, including apparently healthy ones during routine check-ups.
Abstract

Related Concept Videos

Nephrotic Syndrome II : Assessment and Medical Management01:26

Nephrotic Syndrome II : Assessment and Medical Management

IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
35
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
82
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
108
Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
96
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
154
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
190