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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Protein And Micro Albumin Levels?

During a health check for immigration purposes my 11 and a half year old daughter showed high levels of protein in her urine. Subsequent blood tests found her blood to be normal but her urine test shows microalbumin levels of 288 (they should be less than 20) and Urine ACR of 172.9 (should be less than 3.4). I was referred to a nephrologist and have to wait two weeks for the appointment. My concern is that this should have been treated with more urgency. She has no symptoms of illness at all. Please could you comment on this.
Mon, 2 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Looking at the tests i have the impression that your daughter is suffering from nephrotic syndrome which is the inflammation of inner structures or filter of kidney due to which kidney is unable to filter proteins and they start leaking in the urine. Nephrotic syndrome has multiple causes i would recommend you to get her C3 and C4 levels, ANA, ANCA levels before visiting the nephrologist this is called the workup of nephrotic syndrome. Moreover the nephrologist might recommend you the renal biopsy for the ultimate diagnosis. Now coming to your question of urgency then it not that urgent condition and one can wait 2 weeks for the appointment.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes High Protein And Micro Albumin Levels?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Looking at the tests i have the impression that your daughter is suffering from nephrotic syndrome which is the inflammation of inner structures or filter of kidney due to which kidney is unable to filter proteins and they start leaking in the urine. Nephrotic syndrome has multiple causes i would recommend you to get her C3 and C4 levels, ANA, ANCA levels before visiting the nephrologist this is called the workup of nephrotic syndrome. Moreover the nephrologist might recommend you the renal biopsy for the ultimate diagnosis. Now coming to your question of urgency then it not that urgent condition and one can wait 2 weeks for the appointment. Hope I have answered your query. Let me know if I can assist you further.