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wenben（wenben） Cases of Nephrology Publish 2008-07-08 10:32:53 sources: Patients were male, 57 years old, Han, married, Jiangsu, Nanjing. The main reason is that the increase in urine foam for 4 months, swelling in the body for 12 days, aggravated with wheezing for 2 days, was admitted to hospital in February 22, 2006. History: bubble 4 months consciousness in urine increase patients before admission, progressive, gross hematuria, oliguria and non nocturia, urinary frequency, urgency, no pain, no pain, no pain, fever, rash, alopecia, photosensitivity, self medication (Chinese medicine treatment, deer essence Foundation) no significant improvement. 12 days ago, morning after the discovery of bilateral eyelid edema, and the chest, abdomen, scrotum obvious edema, urine volume decreased, about 500ml per day, accompanied by fatigue. 2 days before sleep arousal, not supine, eager to come to our hospital emergency, urinalysis: urine protein 500mg/dL, serum albumin 0.8g/dL, given furosemide diuresis after the symptomatic treatment of wheezing eased, trunk edema eased slightly, lower limbs showed mild edema, patients for further diagnosis and treatment by outpatient to the nephrotic syndrome admitted to the hospital. Since the onset of the patient, the spirit is still good, poor appetite, bowel movements normal, weight gain of about 10 kg. Past history: 18 years ago suffering from nephritis, then urine protein (+ +), no further treatment. Diabetes was discovered 9 years ago and treated with acarbose without monitoring blood sugar. Deny the history of hypertension, coronary heart disease, deny hepatitis, tuberculosis, mental history. Appendectomy 34 years ago. Allergic to sulfa or penicillin. Born in Nanjing, long lived in Beijing, has not been to epidemic areas and epidemic areas of infectious diseases. Smoking history 38 years, 10-20 / day. There is no chronic disease or genetic history in the family. Physical examination: 36.2 C T P R 18 BP130/70mmHg 66 / min / min. The no