Table 3:
Differential Diagnosis of Kidney Disease by
Varying Levels of Proteinuria
Proteinuria Less than 1-2 Grams Daily
  • Nephrosclerosis*
  • Tubulointerstitial disease*
  • Polycystic kidney disease
  • Orthostatic proteinuria
  • More benign forms of glomerular disease (eg, IgA nephritis)*
Proteinuria Greater than 3.5 Grams Daily (Nephrotic-Range)
Primary glomerular disease
  • Minimal change disease
  • Membranous glomerulonephritis*
  • Focal and segmental glomerulosclerosis*
  • Membranoproliferative glomerulonephritis

Secondary nephrotic syndrome: glomerular disease associated
with specific causes

  • Systemic disease
    • Diabetic nephropathy*
    • Systemic Lupus Erythematosus
    • Amyloidosis
    • Vasculitic-immunologic diseases (Wegener's, Goodpasture's, Polyarteritis)
  • Infectious disease
    • Post-streptococcal glomerulonephritis
    • Hepatitis B and C*
    • Bacterial endocarditis
    • HIV*
  • Malignancies
    • Lymphoproliferative disorders, Hodgkin's (minimal change)
    • Solid tumors (membranous)
  • Medications:
    • Nonsteroidal anti-inflammatory drugs*
    • Gold, mercury, heavy metals
    • Penicillamine
    • Lithium
    • "Street" heroin
  • Hereditary and metabolic disorders
    • Alport's syndrome
    • Fabry's disease
    • Sickle cell anemia
    • Nail-patella syndrome
  • Others
    • Accelerated hypertensive nephrosclerosis
    • Massive obesity
    • Transplant rejection nephropathy
* Most common disorders in adults
Copyright 2002 The Cleveland Clinic Foundation

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