Glomerulosclerosis

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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W8MD medical weight loss NYC and sleep center NYC

Glomerulosclerosis
Synonyms
Pronounce	N/A
Specialty	N/A
Symptoms	Proteinuria, edema, hypertension
Complications	Chronic kidney disease, end-stage renal disease
Onset	Variable
Duration	Chronic
Types	N/A
Causes	Diabetes mellitus, hypertension, glomerulonephritis, HIV infection
Risks	Obesity, family history, African American ethnicity
Diagnosis	Urinalysis, kidney biopsy
Differential diagnosis	Focal segmental glomerulosclerosis, diabetic nephropathy, IgA nephropathy
Prevention	N/A
Treatment	ACE inhibitors, angiotensin II receptor blockers, immunosuppressive therapy
Medication	Prednisone, cyclophosphamide, mycophenolate mofetil
Prognosis	Variable, depends on underlying cause and response to treatment
Frequency	Common in patients with diabetes and hypertension
Deaths	N/A

Glomerulosclerosis is a pathological condition characterized by the scarring or hardening of the glomeruli, which are the tiny filtering units within the kidney. This condition can lead to chronic kidney disease and eventually end-stage renal disease if left untreated.

Pathophysiology

Glomerulosclerosis involves the accumulation of extracellular matrix proteins in the glomeruli, leading to their dysfunction. This process can be triggered by various factors, including hypertension, diabetes mellitus, and certain autoimmune diseases. The scarring reduces the glomeruli's ability to filter blood effectively, resulting in proteinuria and other signs of kidney damage.

Causes

The causes of glomerulosclerosis can be classified into primary and secondary types:

• Primary glomerulosclerosis: This occurs without an identifiable systemic disease. An example is focal segmental glomerulosclerosis (FSGS), which affects only some of the glomeruli and only parts of each affected glomerulus.
• Secondary glomerulosclerosis: This is associated with systemic conditions such as diabetic nephropathy, hypertensive nephrosclerosis, and lupus nephritis.

Symptoms

The symptoms of glomerulosclerosis can vary depending on the extent of kidney damage but often include:

• Proteinuria
• Hematuria
• Edema
• Hypertension
• Fatigue

Diagnosis

Diagnosis of glomerulosclerosis typically involves:

• Urinalysis to detect proteinuria and hematuria
• Blood tests to assess kidney function
• Kidney biopsy to examine the extent of glomerular damage

Treatment

Treatment strategies for glomerulosclerosis focus on managing symptoms and slowing disease progression. These may include:

• Antihypertensive drugs such as ACE inhibitors or angiotensin II receptor blockers
• Immunosuppressive therapy for autoimmune-related cases
• Dietary modifications to reduce protein intake
• Dialysis or kidney transplantation in advanced cases

Prognosis

The prognosis for individuals with glomerulosclerosis depends on the underlying cause and the extent of kidney damage. Early detection and management are crucial in preventing progression to end-stage renal disease.

See also

• Chronic kidney disease
• Focal segmental glomerulosclerosis
• Diabetic nephropathy
• Hypertensive nephrosclerosis