Xiaoyu, boy, 5 years old, from Henan province of China.
Major complaints: intermittent swelling in the eyelids and both lower limbs
for more than one year.
Date of hospitalization: April 20, 2011
Primary diagnosis: Nephrotic Syndrome with normal renal function.
Diagnostic criteria: medical history of Nephrotic Syndrome for more than one
year, urine protein 3+, swelling in the eyelids and lower limbs.
Xiaoyu had received treatment in local hospital in December of 2010. At that
time, he was diagnosed with Acute Nephritis. Hormone therapy is used to remit
the swelling after 10 days and the urine protein turned negative. However, three
days later, Xiaoyu occur general edema. Then he was sent to the same local
hospital again and was diagnosed with Nephrotic Syndrome. After taking
prednisone orally for ten days, the urine protein turned negative, and he was
discharge from the hospital after 20 days.
Soon later, Xiaoyu present relapse again with symptoms of severe edema,
flu-like symptoms and fever. This time, his parents come to our hospital for
Check up before the treatment: body temperature 36.2℃,heart rate 88 bpm,
breath 18 bpm, Bp 90/60mmHg, weight 19kg.pruritus, with ulceration, swelling in
the eyelids and both lower limbs, hyperaemia in pharyngeal, mild enlargement of
tonsil, serum creatinine 182.67 umol/L, Urine Nitrogen 13.89mmol/L, urine
Therapeutic schedule: 1. Low-fat and low salt diet, immunosuppressive agents
to reduce leakage of protein; 2. Micro-Chinese Medicine Osmotherapy 2 times per
day; 3. Proper hormones therapy if necessary.
Check up after treatment: all index turned normal, negative urine protein and
occult blood, serum creatinine 66.99umol/L, Urine Nitrogen 5.88mmol/L, good
appetite, sleep, and mental conditions without vomiting and diarrhea.
Xiaoyu’s was discharged from our hospital in May 15, 2011. His families were
very happy with the result and he will continue the treatment of Micro-Chinese
Medicine Osmotherapy for other 2 months at home.